KIMBERLY LYNN SKIDMORE (NPI# 1144247842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144247842 |
| Entity Type | Individual |
| Full Name | KIMBERLY LYNN SKIDMORE |
| Credential | M.D. |
| Practice Address |
43830 10th St W Lancaster CA 93534-4826 |
| Mailing Address |
Po Box 650811 Dallas TX 75265-0811 |
| Practice Telephone | 6619484781 |
| Mailing Telephone | 9727155000 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A60796 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 1942504501 | 01 |
| CA | 1356575138 | 05 | |
| CA | 1144247842 | 05 | |
| CA | BLUE SHIELD | 00A607960 | 01 |
| Street Address |
43830 10TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841251014 | Nancy D Huffstetler | Dietitian, Registered | 43830 10th St W, Lancaster, CA 93534-4826 | 2006-03-29 |
| 1891335451 | Jonathan Jothi Paul | Occupational Therapist | 43830 10th St W, Lancaster, CA 93534-4826 | 2020-01-13 |
| 1518506799 | Yun Chao Xu | Speech-Language Pathologist | 43830 10th St W, Lancaster, CA 93534-4826 | 2020-01-05 |
| 1700365574 | Mary Garcia-casas | Physical Therapist | 43830 10th St W, Lancaster, CA 93534-4826 | 2018-08-12 |
| 1033698808 | Gustavo Casas Jr. | Physical Therapist | 43830 10th St W, Lancaster, CA 93534-4826 | 2018-08-12 |
| 1770098527 | Maria Jesusa Buan Tan | Registered Nurse | 43830 10th St W, Lancaster, CA 93534-4826 | 2017-12-01 |
| 1164932661 | Shahid N Siddiqui Md A Medical Corporation | Internal Medicine | 43830 10th St W, Lancaster, CA 93534-4826 | 2017-10-10 |
| 1932555976 | Premiere Rehabilitation & Wellness Center of Lancaster Lp | Skilled Nursing Facility | 43830 10th St W, Lancaster, CA 93534-4826 | 2016-05-09 |
| 1376953109 | California Anesthesia Specialists, A Medical Corporation | Anesthesiology | 43830 10th St W, Lancaster, CA 93534-4826 | 2014-05-01 |
| 1558696898 | Raquel Russell | Dietitian, Registered | 43830 10th St W, Lancaster, CA 93534-4826 | 2009-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1487157731 | Prime Anesthesia Associates PC | Anesthesiology | 810 Plaza Blvd Ste 101, Lancaster, PA 17601-2762 | 2018-03-13 |
| 1013299684 | Casey Joseph Prather | Anesthesiology | 250 College Ave Fl 1, Lancaster, PA 17603-3363 | 2011-09-09 |
| 1326348319 | Baghdadi Medical Inc | Anesthesiology | 44830 Valley Central Way Ste 107, Lancaster, CA 93536-1505 | 2010-10-25 |
| 1174613681 | Yoong Jong Park Md Inc | Anesthesiology | 1720 W Avenue J, Lancaster, CA 93534-2700 | 2006-10-13 |
| 1679529622 | Boris Aronzon | Anesthesiology | 730 Eden Rd Fl 2, Lancaster, PA 17601-4725 | 2006-05-25 |
| 1104898329 | Lancaster Anesthesia & Associates, Pa | Anesthesiology | 123 South Main Street, Lancaster, SC 29720 | 2006-02-02 |
| 1518945252 | Meena Shah | Anesthesiology | 44301 Lorimer Ave, Lancaster, CA 93534-3700 | 2006-01-04 |
| 1619954831 | Choon Wha Chun | Anesthesiology | 44830 Valley Central Way, Suite 110, Lancaster, CA 93536-7207 | 2005-12-29 |
| 1730166067 | Tamding Tempo | Anesthesiology | 1672 W Avenue J, Suite 209, Lancaster, CA 93534-2700 | 2005-12-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.