Active NPI
David Rankin Arrowsmith, MD PA
- Dermatology Physician
- Shalimar, FL
National Provider Identifier
1821022138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME23325
- Practice address
- 11 10TH Ave
Shalimar, FL 32579-1304 - Phone
- (850) 651-3376
- Fax
- (850) 651-3372
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME23325 | FL | Primary |
Addresses
Primary practice location
11 10TH Ave
Shalimar, FL 32579-1304
Mailing address
11 10TH Ave
Shalimar, FL 32579-1304
Phone (850) 651-3376
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004325645 | Other | AETNA | |
| 46082 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23325 | FL | MD | Mental Health Counselor |
| ME23325 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821022138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 10TH AVE",
"city": "SHALIMAR",
"state": "FL",
"postal_code": "325791304",
"telephone_number": "850-651-3376",
"fax_number": "850-651-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 10TH AVE",
"city": "SHALIMAR",
"state": "FL",
"postal_code": "325791304",
"telephone_number": "850-651-3376",
"fax_number": "850-651-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARROWSMITH",
"first_name": "DAVID",
"middle_name": "RANKIN",
"name_prefix": "Dr.",
"credential": "MD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME23325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004325645",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "46082",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shalimar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.