KATHLEEN ELLEN SKILLIN


Address: 15005 Shady Grove Rd, Suite 130, Rockville, MD 20850-6340
Phone: 3012948525

KATHLEEN ELLEN SKILLIN (NPI# 1720489222) 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) 1720489222
Entity Type Individual
Full Name KATHLEEN ELLEN SKILLIN
Credential PA-C
Practice Address 15005 Shady Grove Rd
Suite 130
Rockville
MD 20850-6340
Practice Telephone 3012948525
Mailing Telephone 3012948525
Enumeration Date 2014-09-16
Last Update Date 2014-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C0005507 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15005 SHADY GROVE RD
SUITE 130
City ROCKVILLE
State MD
Zip Code 20850-6340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756233 Sheri L. Hamersley Obstetrics & Gynecology 15005 Shady Grove Rd, Suite 340, Rockville, MD 20850-6340 2005-08-02
1346618337 Aceso Healthcare Partners LLC Clinic/Center 15005 Shady Grove Rd, Suite 240, Rockville, MD 20850-6340 2015-09-08
1396174371 Virginia Lee Mccarty Registered Nurse 15005 Shady Grove Rd, Suite 120, Rockville, MD 20850-6340 2013-11-11
1104190313 Potomacplasticandreconstructivesurgerycenterjanettealexandermdpa Surgery 15005 Shady Grove Rd, #220, Rockville, MD 20850-6340 2012-03-06
1447529011 Molly Julia Garges Nurse Practitioner 15005 Shady Grove Rd, Rockville, MD 20850-6340 2011-12-27
1114296787 Jagmeet Kaur Internal Medicine 15005 Shady Grove Rd, #310, Rockville, MD 20850-6321 2011-12-27
1235469073 Arthur Z Weiss Dentist 15005 Shady Grove Rd, Suite 230, Rockville, MD 20850-6340 2009-12-29
1609109677 Leonard N. Green Psychiatry & Neurology 15005 Shady Grove Rd, Suite 440, Rockville, MD 20850-6340 2009-09-09
1487820619 Jennifer Mara Hammer Ophthalmology 15005 Shady Grove Rd, Suite 100, Rockville, MD 20850-6340 2008-05-07
1013104538 Steve Behram and Associates, PC Obstetrics & Gynecology 15005 Shady Grove Rd, Suite 130, Rockville, MD 20850-6340 2007-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1902456502 Fousseyni M Diawara Radiologic Technologist 1680 E Gude Dr Ste 302, Rockville, MD 20850 2019-09-16
1104485697 Barbara S Delsack Speech-Language Pathologist Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 2019-06-10
1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
1417421843 Wei Li Acupuncturist 9600 Blackwell Road. Suite 300, Rockville, MD 20850 2019-01-18
1881168805 Heather Jean Scurtu Mann Psychologist Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 2019-01-12
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669070991 Niklavs Peteris Eglitis Physician Assistant 905 Paulsboro Dr, Rockville, MD 20850-3027 2020-10-09
1740899178 Annie Jung Kim Physician Assistant 1801 Chapman Ave Apt 269, Rockville, MD 20852-5659 2020-07-31
1437625464 Michael Xiaobo Tang Physician Assistant 121 Congressional Ln Ste 409, Rockville, MD 20852-1542 2018-10-17
1821577412 Rachel Ghaman Physician Assistant 2301 Research Blvd Ste 215, Rockville, MD 20850 2018-08-14
1740719483 Tao Jiang Physician Assistant 9660 Traville Gateway Dr, Rockville, MD 20850-7462 2017-06-07
1174073332 Pavithra Gowda Physician Assistant 11921 Rockville Pike Ste 505, Rockville, MD 20852-2758 2016-10-11
1215330089 Emmy-lou Olivia Dickinson Physician Assistant 9905 Medical Center Dr Ste 200, Rockville, MD 20850-6535 2014-10-07
1689091126 Shana Subram Physician Assistant 13420 Bartlett St, Rockville, MD 20853-2938 2014-03-22
1033541982 Jennifer Diane Treat Physician Assistant 11300 Rockville Pike Ste 1100, Rockville, MD 20852-3012 2013-08-02
1881808905 Calvin Samuel Spinner Physician Assistant 5600 Fisher Ln, Rockville, MD 20857-0001 2007-05-09
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Competitor

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City ROCKVILLE
Zip Code 20850

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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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