Laura E. Skellchock MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME88323 Issued in FL

Legal business name

LAURA E. SKELLCHOCK MD PA

Practice address

6100 Glades Rd
Suite 304
Boca Raton, FL 33434-4325

Phone

(561) 488-2689

Fax

(561) 353-4132

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Laura E. Skellchock MD PA, M.D

Title

Owner/Practitioner

Phone

(561) 488-2689

Specialties & licenses 1

Addresses

Other names 1

• Integrative Dermatology Doing business as

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1922439710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GLADES RD",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344325",
            "telephone_number": "561-488-2689",
            "fax_number": "561-353-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GLADES RD",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344325",
            "telephone_number": "561-488-2689",
            "fax_number": "561-353-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA E. SKELLCHOCK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "SKELLCHOCK MD PA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "561-488-2689",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME88323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wincie Rose Lau-Swisher, MD
• Lauderdale Orthopaedic Surgeons LLP
• Mary Lauderdale, M.ED
• Frederick James Laufer, MD
• Jenna Laufer
• Laurence Miller PHD PA
• Sophia Riley Laurich
• Laurie Karpf, M.D., P.a.
• Laurie L. Norman, LMHC PA
• Jennifer Lavandero, APRN

• Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.