Skin Diagnostic, Inc.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

SKIN DIAGNOSTIC, INC.

Doing business as

Skin Diagnostics, Inc

Practice address

9201 Montgomery Rd
Cincinnati, OH 45242-7750

Phone

(513) 631-0059

Fax

(513) 631-0068

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Beatriz Porras, MDNPI 1225011513

Title

President

Phone

(513) 631-0059

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Skin Diagnostics, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beatriz Porras, MD

  • Specialist
  • Cincinnati, OH
  • NPI 1225011513
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1871576165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643290",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643290",
            "telephone_number": "513-631-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427750",
            "telephone_number": "513-631-0059",
            "fax_number": "513-631-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-631-0059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Diagnostics, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane M Skierkiewicz, RN, CNP
• Maria Paula Skiles, APRN-CNP
• Skilled Staffing Solutions
• Tally Garciath Savalas Skillom
• Skin Cancer Center Inc
• Stephanie Edwina Skinner-Lucas, REGISTERED DIETITIAN
• Kegan Skinner
• Robert Barnett Skinner, MD
• Jill Joseph Skladany, RN, CNP
• Jesse Skoch, M.D.

• Anatomic Pathology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Anatomic Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.