ROBERT SKIDMORE JR. (NPI# 1245322049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245322049 |
| Entity Type | Individual |
| Full Name | ROBERT SKIDMORE JR. |
| Credential | M.D. |
| Practice Address |
3700 Nw 83rd St Gainesville FL 32606-5603 |
| Mailing Address |
Po Box 357730 Gainesville FL 32635-7730 |
| Practice Telephone | 3523717546 |
| Practice Fax Number | 3523357546 |
| Mailing Telephone | 3523717546 |
| Mailing Fax Number | 3523357546 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME59336 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE GROUP# | DC1427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942547906 | Robert C Skidmore | Counselor | 18 Portland Ave, Medford, OR 97504-7309 | 2013-01-11 |
| Street Address |
3700 NW 83RD ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851312565 | Jane P Mckinney | Physician Assistant | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2006-07-21 |
| 1588150163 | Monica Sayaka Sowalsky | Physician Assistant | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2018-07-06 |
| 1588170591 | Integrated Dermatology of Gainesville, LLC | Dermatology | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2017-12-28 |
| 1093101107 | Wallace Ramsey Nozile | Dermatology | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2015-04-15 |
| 1427466440 | Laura Beth Sumler | Physician Assistant | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2014-07-23 |
| 1033317615 | Amanda R Parrish | Physician Assistant | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2007-07-05 |
| 1427141332 | Florida Skin Cancer & Dermatology Specialists, Pa | Dermatology | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2006-10-02 |
| 1457443293 | Charlotte C Mixon | Nurse Practitioner | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093101107 | Wallace Ramsey Nozile | Dermatology | 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 2015-04-15 |
| 1619232469 | Renewal Dermatology & Medspa, P.C. | Dermatology | 7512 Gardner Park Dr, Gainesville, VA 20155-3414 | 2012-07-09 |
| 1619263407 | Renewal Dermatology Pllc | Dermatology | 7512 Gardner Park Dr, Gainesville, VA 20155-3414 | 2011-06-21 |
| 1437325875 | Charles Blanchard Stoer Md Pa | Dermatology | 4525 Sw 13th St, Gainesville, FL 32608-3901 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
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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.