Skin Clinic PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DO2368 Issued in ME

Legal business name

SKIN CLINIC PLLC

Practice address

362 US Route 1 Ste 5
Falmouth, ME 04105-1353

Phone

(207) 221-3931

Fax

(405) 551-8254

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Yoon Kim Cohen, D.O.NPI 1598063679

Title

President

Phone

(207) 221-3931

Specialties & licenses 1

Addresses

Other names 1

• Skin Clinic Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14332/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Yoon Cohen, D.O.

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1598063679
  NPD (past) Authorized official

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1922553734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 US ROUTE 1 STE 5",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051353",
            "telephone_number": "207-221-3931",
            "fax_number": "405-551-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 US ROUTE 1 STE 5",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051353",
            "telephone_number": "207-221-3931",
            "fax_number": "405-551-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "YOON",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-221-3931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "ME",
            "license": "DO2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bailey Shevenell
• Oliver Silverson
• Amanda Simmons, MAOM, L.AC
• Marsha Titcomb Siviski, M.A.,CCC-SLP
• Robert Wayne Siviski, PH.D.
• Davida Sky
• Sleepmed Therapies Inc
• Mary Snowdon, RDH
• Soul Shine Counseling LLC
• Southern Maine Hearing, Inc

• Dermatology Physician in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.