Robert A Skidmore (NPI# 1245322049, PAC ID# 7618871419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1245322049 |
| PAC ID by PECOS | 7618871419 |
| Professional Enrollment ID | I20031208000796 |
| Full Name | Robert A Skidmore |
| Organization Legal Name | FLORIDA SKIN CANCER AND DERMATOLOGY SPECIALISTS, PA |
| Address |
155 Nwenterprise Way Lake City FL 32055-8837 |
| Phone Number | 3523717546 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4082518881 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3700 Nw 83rd St, Gainesville, FL 32606-5603 | 3523717546 | FLORIDA SKIN CANCER AND DERMATOLOGY SPECIALISTS, PA |
| 155 Nwenterprise Way, Lake City, FL 32055-8837 | 3523717546 | FLORIDA SKIN CANCER AND DERMATOLOGY SPECIALISTS, PA |
| Organization Legal Name | FLORIDA SKIN CANCER AND DERMATOLOGY SPECIALISTS, PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda R Parrish | Physician Assistant | Florida Skin Cancer and Dermatology Specialists, Pa | 3700 Nw 83rd St, Gainesville, FL 32606-5603 |
| Phalyka Oum | Pediatric Medicine | Florida Skin Cancer and Dermatology Specialists, Pa | 155 Nwenterprise Way, Lake City, FL 32055-8837 |
| Laura B Sumler | Physician Assistant | Florida Skin Cancer and Dermatology Specialists, Pa | 3700 Nw 83rd St, Gainesville, FL 32606-5603 |
| Charlotte C Mixon | Nurse Practitioner | Florida Skin Cancer and Dermatology Specialists, Pa | 155 Nwenterprise Way, Lake City, FL 32055-8837 |
| Monica Sayaka Sowalsky | Physician Assistant | Florida Skin Cancer and Dermatology Specialists, Pa | 3700 Nw 83rd St, Gainesville, FL 32606-5603 |
| Ashley Love | Physician Assistant | Florida Skin Cancer and Dermatology Specialists, Pa | 3700 Nw 83rd St, Gainesville, FL 32606-5603 |
| Jane P Mckinney | Physician Assistant | Florida Skin Cancer and Dermatology Specialists, Pa | 3700 Nw 83rd St, Gainesville, FL 32606-5603 |
| Street Address |
155 NWENTERPRISE WAY |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-8837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phalyka Oum | Pediatric Medicine | Florida Skin Cancer and Dermatology Specialists, Pa | 155 Nwenterprise Way, Lake City, FL 32055-8837 |
| Charlotte C Mixon | Nurse Practitioner | Florida Skin Cancer and Dermatology Specialists, Pa | 155 Nwenterprise Way, Lake City, FL 32055-8837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAKE CITY + DERMATOLOGY |
Please comment or provide details below to improve the information on Robert A Skidmore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.