DR. EDWARD SKILLEN (NPI# 1639198872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639198872 |
| Entity Type | Individual |
| Full Name | DR. EDWARD SKILLEN |
| Credential | D.O. |
| Practice Address |
5838 Harbour View Blvd Suite 270 Suffolk VA 23435-2663 |
| Practice Telephone | 7575411050 |
| Practice Fax Number | 7575411097 |
| Mailing Telephone | 7575411050 |
| Mailing Fax Number | 7575411097 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0102035405 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6030335 | 05 |
| Street Address |
5838 HARBOUR VIEW BLVD SUITE 270 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518742 | John R Howard Jr. | Internal Medicine | 5838 Harbour View Blvd, Suite 105, Suffolk, VA 23435-2663 | 2005-06-17 |
| 1043732316 | Brandee Leigh Winkler | Orthopaedic Surgery | 5838 Harbour View Blvd, Suffolk, VA 23435-2663 | 2017-07-08 |
| 1346657418 | Jennifer Lauren English | Physician Assistant | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2014-07-21 |
| 1033523055 | Virginia Oncology Associates | Non-Pharmacy Dispensing Site | 5838 Harbour View Blvd, Suite 105, Suffolk, VA 23435-2663 | 2014-06-18 |
| 1205263563 | Bree Clemmons | Specialist/Technologist | 5838 Harbour View Blvd, Suffolk, VA 23435-2663 | 2013-10-02 |
| 1609202399 | Meredith Anne Grzybowski | Nurse Practitioner | 5838 Harbour View Blvd, Suite 240, Suffolk, VA 23435-2663 | 2013-09-25 |
| 1740558410 | Sarah Kathleen Terrible | Occupational Therapist | 5838 Harbour View Blvd, Suite 130, Suffolk, VA 23435-2663 | 2011-12-08 |
| 1952698730 | Todd Nolen | Physician Assistant | 5838 Harbour View Blvd, Suite 270, Suffolk, VA 23435-2663 | 2011-06-30 |
| 1427345354 | Sarah M Milosek | Physician Assistant | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2011-06-29 |
| 1790096717 | Krystal Geneva Johnson | Specialist/Technologist | 5838 Harbour View Blvd, Ste 130, Suffolk, VA 23435-2663 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386607653 | Edward Michael Lynch | Internal Medicine | 2790 Godwin Blvd Ste 100, Suffolk, VA 23434-8151 | 2006-04-08 |
| 1821353681 | Maryview Hospital | Internal Medicine | 1030 Hillpoint Blvd N, Suffolk, VA 23434-8470 | 2012-07-09 |
| 1164710083 | Regina C Lee | Internal Medicine | 2000 Meade Pkwy, Suffolk, VA 23434 | 2011-07-12 |
| 1679871180 | Jayaraman Venkatesan | Internal Medicine | 1030 Hillpoint Blvd N, Suffolk, VA 23434-8470 | 2011-03-08 |
| 1831355353 | Timothy L Marshall, M.d., P.C. | Internal Medicine | 424 N Main St, Suite 3, Suffolk, VA 23434-4428 | 2008-08-04 |
| 1316153737 | Christina A Mcdowell | Internal Medicine | 2790 Godwin Blvd Ste 100, Suffolk, VA 23434-8151 | 2007-05-15 |
| 1699808121 | Marc J Rosenberg | Internal Medicine | 5838 Harbour View Blvd, Suite 270, Suffolk, VA 23435-2663 | 2007-03-13 |
| 1831112705 | George A. Sarris | Internal Medicine | 5838 Harbour View Blvd, Sute 270, Suffolk, VA 23435-2663 | 2006-07-25 |
| 1881616134 | Dae B. Chough | Internal Medicine | 5838 Harbour View Blvd, Suite 270, Suffolk, VA 23435-2663 | 2006-07-24 |
| 1639127020 | David Meeks Eich | Internal Medicine | 2000 Meade Pkwy, Suffolk, VA 23434 | 2006-05-05 |
| Find all providers in SUFFOLK | ||||
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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.