Active NPI
Christopher Don Skillern, MD
- Emergency Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R9543
- Practice address
- 6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200 - Phone
- (817) 496-9700
- NPI assigned
- Jun 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2014018331 | MO | |
| Emergency Medicine Physician | 207P00000X | R9543 | TX | Primary |
Addresses
Primary practice location
6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200
Mailing address
6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200
Phone (817) 496-9700
Other practice location 1
1 Hospital Dr
McHaney Hall 404, DCO75.00
Columbia, MO 65212-1000
Phone (573) 884-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181
Hospital & facility affiliations
- Methodist Charlton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9543 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Medicine Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Texas Physician Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Pediatric Emergency Medicine Group LLP | Emergency Medicine | Current | Accepting new patients |
| Care Associates, P.a. | Emergency Medicine | Past | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
6451 Brentwood Stair Rd
Ste 200
Ft Worth, TX 76112
Phone (817) 496-9700
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
2265 N Lakeshore Dr
#103
Rockwall, TX 75087
Phone (972) 216-8300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1639413289
-
- Emergency Medicine Physician
- Plano, TX
- NPI 1629448535
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1336454917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1922413475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 BRENTWOOD STAIR RD STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761123200",
"telephone_number": "817-496-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 BRENTWOOD STAIR RD STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761123200",
"telephone_number": "817-496-9700"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr",
"address_2": "McHaney Hall 404, DCO75.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652121000",
"country_code": "US",
"telephone_number": "573-884-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKILLERN",
"first_name": "CHRISTOPHER",
"middle_name": "DON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2014018331",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R9543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.