MICHAEL A. SKOLNICK


Address: 130 Hospital Rd, Suite 207, Prince Frederick, MD 20678
Phone: 4105355959

MICHAEL A. SKOLNICK (NPI# 1205843851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205843851
Entity Type Individual
Full Name MICHAEL A. SKOLNICK
Credential M.D.
Practice Address 130 Hospital Rd
Suite 207
Prince Frederick
MD 20678
Mailing Address P.o. Box 3509
Prince Frederick
MD 20678
Practice Telephone 4105355959
Practice Fax Number 4104144662
Mailing Telephone 4105355959
Mailing Fax Number 4104144662
Enumeration Date 2006-08-02
Last Update Date 2011-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
D0058856 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD CAREFIRST BCBS 61673604 01
MD CAREFIRST BCBS J7730003 01
MD 400308000 05

Other Providers MICHAEL SKOLNICK

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1144843616 Michael Skolnick Registered Nurse West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 2020-05-19
1427243476 Michael Ethan Skolnick Dentist 66 Somme St, 2nd Floor, Newark, NJ 07105-3612 2007-09-12

Office Location

Street Address 130 HOSPITAL RD
SUITE 207
City PRINCE FREDERICK
State MD
Zip Code 20678

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073598462 Lacy Twining Pitman Nurse Practitioner 130 Hospital Rd, Suite 201, Prince Frederick, MD 20678-4015 2005-12-08
1992247589 Gabriella Marie Reed Registered Nurse 130 Hospital Rd, Prince Frederick, MD 20678-4015 2016-11-14
1558718668 Calverthealth Medical Center, Inc. Occupational Therapy Assistant 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 2016-05-18
1154701464 Laboratory Corporation of America Clinical Medical Laboratory 130 Hospital Rd, Suite 101, Prince Frederick, MD 20678-4015 2015-06-02
1598195299 Calverthealth Medical Center, Inc. Clinic/Center 130 Hospital Rd, Suite 102, Prince Frederick, MD 20678-4015 2013-11-15
1326382409 Ryan A Hunsicker Physical Therapist 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 2012-11-15
1225310477 Mcdermott Chiropractic Care, P.C. Clinic/Center 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 2011-09-14
1811292162 Amanda E Eller Physical Therapist 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 2011-01-18
1992007645 Christine Marie Berube Occupational Therapist 130 Hospital Rd, Suite 130, Prince Frederick, MD 20678-4015 2010-12-01
1477871507 Christine Fratantuono Physical Therapist 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 2010-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861857500 Watershed Counseling Service Counselor 246 Merrimac Court, Prince Frederick, MD 20678 2015-12-23
1023449642 Mary Gordon Walter Registered Nurse 976 Solomans Island Road, Prince Frederick, MD 20678 2013-12-07
1891126827 Jacqueline Leclercq Nurse Practitioner 110 Hospital Road Suite 303, Prince Frederick, MD 20678 2013-12-02
1174959001 Linsey Rowe Heane Physical Therapist 110 Main Street Suite 1, Prince Frederick, MD 20678 2013-09-24
1053607002 Tidewater Dental Pf Dentist 690 Prince Frederick Blvd, Prince Frederick, MD 20678 2011-06-28
1033411558 Sharon Patricia Parran Pharmacist 80 W.dares Beach Road, Prince Frederick, MD 20678 2010-12-04
1366684326 Prince Frederick Surgery Center LLC Clinic/Center 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 2009-04-06
1982844734 Orthocare Solutions Inc Durable Medical Equipment & Medical Supplies 220 Old Solomans Island Rd, Prince Frederick, MD 20678 2009-03-05
1225273519 Rebecca Lynn Jahed Audiologist 3180 Blackberry Lane, Prince Frederick, MD 20678 2008-12-16
1669639209 Ralph Walter Niemann Dentist 272 Merrimac Court, Prince Frederick, MD 20678 2008-05-21
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528079472 Manbir Singh Pediatrics 130 Hospital Rd, Suite 207, Prince Frederick, MD 20678 2006-08-10
1457368193 Meghan M. Chiu Pediatrics 130 Hospital Rd, Suite 207, Prince Frederick, MD 20678 2006-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821621707 Montgomery County Maryland Government Pediatrics 19401 Crystal Rock Dr, Germantown, MD 20874-1593 2020-02-19
1386191419 Ganesan,jhansi R. Md, PC Pediatrics 8355 Cherry Ln, Laurel, MD 20707-4829 2016-09-07
1346582244 Katherine Maureen Carlin Pediatrics Johns Hopkins School of Medicine, 733 North Broadway, Suite 147, Baltimore, MD 21205-2196 2013-03-19
1316286032 Prime Pediatrics, LLC Pediatrics 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878-1676 2013-02-01
1346401189 Rose - Marie St Jean Sylla Pediatrics 5209 Eliots Oak Rd, Columbia, MD 21044-1826 2008-06-24
1013123876 Janet V Johnson Pediatrics 3311 Toledo Ter Ste C201, Hyattsville, MD 20782-8148 2007-05-15
1366573784 Shelley Jane Parr Pediatrics University Health Ctr, Bldg. 140, College Park, MD 20742-4711 2007-03-08
1528198652 Cheryl Lynn Parks Pediatrics 3527 N Rolling Rd, Suite 1, Baltimore, MD 21244-2223 2007-03-07
1265563001 Sacared Bodison Pediatrics University Health Center - University of Maryland, Building 140, College Park, MD 20742 2007-03-07
1851433965 Karakat S & Indira V Gokulanathan Ptr Pediatrics 9470 Annapolis Rd Ste 311, Lanham, MD 20706-3022 2007-02-13
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Competitor

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City PRINCE FREDERICK
Zip Code 20678

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Dataset Information

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.

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