NPIMap

Organization Active NPI

Associates in Dermatology M D P L

  • Procedural Dermatology Physician
  • Fort Myers, FL
National Provider Identifier
1811950371
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
ASSOCIATES IN DERMATOLOGY M D P L
Practice address
8381 Riverwalk Park Blvd
Suite 101
Fort Myers, FL 33919-8760
Phone
(239) 936-5425
Fax
(239) 936-5176
NPI assigned
Apr 7, 2006
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shari L Skinner, M.D.NPI 1043271737
Title
President
Phone
(239) 936-5425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X FL Primary

Addresses

Primary practice location

8381 Riverwalk Park Blvd
Suite 101
Fort Myers, FL 33919-8760

Mailing address

8381 Riverwalk Park Blvd
Suite 101
Fort Myers, FL 33919-8760
Phone (239) 936-5425

Other identifiers 3

IdentifierTypeStateIssuer
CF4641OtherFLRAIL ROAD MEDICARE
2071559OtherFLAETNA
77212OtherFLBC BS OF FLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809000250 FL Part B Supplier - Clinic/Group Practice 1355370495 Receives reassigned benefits from 17 practitioners
Practice locations: Cape Coral, FL; Fort Myers, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2120155Associates in Dermatology8381 Riverwalk Park Blvd Ste 202, Fort Myers, FL 33919ComplianceOct 26, 2026

National Provider Directory

National Provider Directory

Locations

14 Del Prado Blvd N
Ste 301
Cape Coral, FL 33909
Phone 2399365425221

8381 Riverwalk Park Blvd
Ste 101
Fort Myers, FL 33919
Phone (239) 936-5425

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00020

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1811950371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 RIVERWALK PARK BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198760",
            "telephone_number": "239-936-5425",
            "fax_number": "239-936-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 RIVERWALK PARK BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198760",
            "telephone_number": "239-936-5425",
            "fax_number": "239-936-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN DERMATOLOGY M D P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-5425",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CF4641",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2071559",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FLA",
            "identifier": "77212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.