DR. JACOB WILLIAM SKINNER (NPI# 1063415040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063415040 |
| Entity Type | Individual |
| Full Name | DR. JACOB WILLIAM SKINNER |
| Credential | DMD |
| Practice Address |
5121 Ehrlich Rd Ste 105 Tampa FL 33624-2015 |
| Mailing Address |
13312 Tiger Lilly Ln Tampa FL 33625-3770 |
| Practice Telephone | 8139602232 |
| Mailing Telephone | 8132203372 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 16608 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063686152 | Jacob Skinner | Obstetrics & Gynecology | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2008-04-18 |
| Street Address |
5121 EHRLICH RD STE 105 |
| City | TAMPA |
| State | FL |
| Zip Code | 33624-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558642 | Feel Good Chiropractic LLC | Chiropractor | 5121 Ehrlich Rd, 109, Tampa, FL 33624-2049 | 2016-10-05 |
| 1831556166 | Victoria Marie Potocki | Counselor | 5121 Ehrlich Rd, Building 101, Suite G, Tampa, FL 33624-2049 | 2016-01-17 |
| 1215328836 | Laszlo Sas | Specialist | 5121 Ehrlich Rd, 112/a, Tampa, FL 33624-2049 | 2015-02-18 |
| 1720347958 | Mary T. Bryant, Pa | Counselor | 5121 Ehrlich Rd, Suite 104b, Tampa, FL 33624-2049 | 2012-05-08 |
| 1699066308 | New York Massage, Inc. | Massage Therapist | 5121 Ehrlich Rd, Suite 112-a, Tampa, FL 33624-2049 | 2011-04-28 |
| 1851699466 | Frankie Amarillas | Chiropractor | 5121 Ehrlich Rd, Ste 109, Tampa, FL 33624-2049 | 2011-03-05 |
| 1447552195 | Kelly Elizabeth Turner | Social Worker | 5121 Ehrlich Rd, Bldg 101 Ste G, Tampa, FL 33624-2049 | 2010-12-01 |
| 1790910792 | Colandtal Enterprises, Inc | In Home Supportive Care | 5121 Ehrlich Rd, Bldg 101, Suite G, Tampa, FL 33624-2015 | 2009-05-19 |
| 1558504498 | Kasey Cash | Developmental Therapist | 5121 Ehrlich Rd, Suite 102a, Tampa, FL 33624-2049 | 2009-04-08 |
| 1487808184 | Michael Wayne Rowe | Dentist | 5121 Ehrlich Rd, Suite 110, Tampa, FL 33624-2049 | 2008-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
| 1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
| 1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
| 1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
| 1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
| 1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
| 1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
| 1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
| 1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
| 1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
| Find all providers in zip 33624 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742499 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8682 Hunters Village Rd, Tampa, FL 33647-3778 | 2020-02-13 |
| 1194387118 | Matthew Sorsok | Dentist | 8406 Wilsky Blvd, Tampa, FL 33615-1515 | 2019-06-29 |
| 1922666056 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13805 Nine Eagles Dr, Tampa, FL 33626-3002 | 2019-06-04 |
| 1346728425 | Buckenheimer & Bulnes, D.m.d.'s P.a. | Dentist | 3906 W. Neptune St., Tampa, FL 33629-5829 | 2018-08-01 |
| 1700308855 | Neil Bradley Seaver | Dentist | 16562 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2017-07-11 |
| 1801316310 | Affiliated Dental Specialist Pl | Dentist | 13129 N Dale Mabry Hwy Ste H, Tampa, FL 33618-2444 | 2017-06-26 |
| 1215457767 | Affiliated Dental Specialist Pl | Dentist | 17401 Commerce Park Blvd Ste 101, Tampa, FL 33647-3507 | 2017-06-26 |
| 1316479959 | Jennifer Lindsay Kucko | Dentist | 12113 W Linebaugh Ave, Tampa, FL 33626-1732 | 2017-04-02 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1821441601 | Nicholas K. Mickelson | Dentist | 10041 W Hillsborough Ave, Tampa, FL 33615-3002 | 2016-07-18 |
| Find all providers in TAMPA | ||||
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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.