Midstate Skin Institute, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME112254 Issued in FL

Legal business name

MIDSTATE SKIN INSTITUTE, LLC

Practice address

1740 SE 18TH St Ste 1102
Ocala, FL 34471-5447

Phone

(352) 512-0092

Fax

(352) 512-0093

NPI assigned

Sep 30, 2012

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Cauthen, M.D.NPI 1720254071

Title

President/Managing Member

Phone

(352) 512-0092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 23

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.

• Ashley Cauthen, M.D.

  • Dermatology Physician
  • Ocala, FL
  • NPI 1720254071
  Medicare reassignment Care Compare group NPD Authorized official
• Brooklyn Curley, APRN

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1942994546
  Medicare reassignment Care Compare group NPD
• Daven Navnit Doshi, M.D.

  • Dermatology Physician
  • Ocala, FL
  • NPI 1972708329
  Medicare reassignment Care Compare group NPD
• Allison Marie Harbilas, APRN

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1568023240
  Medicare reassignment Care Compare group NPD
• Nicole Marie Howe, MD

  • MOHS-Micrographic Surgery Physician
  • Lutz, FL
  • NPI 1275854614

  Dermatology

  Medicare reassignment Care Compare group NPD
• Marian Ibrahim, M.D.

  • Dermatology Physician
  • Lutz, FL
  • NPI 1548571821
  Medicare reassignment Care Compare group NPD
• Puja Kathrotiya Konda, M.D.

  • Dermatology Physician
  • Ocala, FL
  • NPI 1770837189
  Medicare reassignment Care Compare group NPD
• John C Mavropoulos, M.D., M.P.H., PH.D.

  • MOHS-Micrographic Surgery Physician
  • Orlando, FL
  • NPI 1063737682
  Medicare reassignment Care Compare group NPD
• Kendall Kohl Thurston, RN

  • Nurse Practitioner
  • Ocala, FL
  • NPI 1194435974
  Medicare reassignment Care Compare group NPD
• Alexandra Rowan White, APRN

  • Primary Care Nurse Practitioner
  • Ocala, FL
  • NPI 1811719669
  Medicare reassignment Care Compare group NPD
• Hope Allen, PA-C

  • Physician Assistant
  • Ocala, FL
  • NPI 1497322838
  Medicare reassignment Care Compare group
• Colby Crile, PA-C

  • Physician Assistant
  • Ocala, FL
  • NPI 1649725326
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1912258989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 1102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715447",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 1102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715447",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7648 SW 61st Ave., STE 100",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344768310",
            "country_code": "US",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3210 SW 33rd Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344747409",
            "country_code": "US",
            "telephone_number": "352-470-0770",
            "fax_number": "352-512-0093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7550 SW 61st Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344768310",
            "country_code": "US",
            "telephone_number": "352-732-7337",
            "fax_number": "352-512-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDSTATE SKIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-30",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "CAUTHEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING MEMBER",
        "authorized_official_telephone_number": "352-512-0092",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME112254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Paul Migliore, DO
• Bridget Mijares
• Hima Mikkilineni, M.D.
• Stanley Michael Mikowski, D.O.

• Dermatology Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.