SKIN PC (NPI# 1134410764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134410764 |
| Entity Type | Organization |
| Organization Name | SKIN PC |
| Other Organization Name | SKIN DERMATOLOGY & AESTHETICS |
| Practice Address |
1408 Veterans Dr Suite 100 Elkhorn NE 68022-6912 |
| Practice Telephone | 4029165664 |
| Mailing Telephone | 4029165664 |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |
| Authorized Official Name | MR. CHAD M HILLYER (OWNER) |
| Authorized Official Telephone | 4029165664 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Skin Dermatology & Aesthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447629886 | Skin PC | Dermatology | 905 Alpine Ave, Boulder, CO 80304-3305 | 2015-09-16 |
| 1801277801 | Skin PC | Dermatology | 1935 E Military Ave, Fremont, NE 68025-5489 | 2015-06-15 |
| 1821118613 | Skin PC | Dermatology | 1830 Town Center Dr, Suite 410, Reston, VA 20190-3292 | 2007-03-29 |
| Street Address |
1408 VETERANS DR SUITE 100 |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902825904 | Chad Michael Hillyer | Dermatology | 1408 Veterans Dr, Ste 100, Elkhorn, NE 68022-6912 | 2006-07-19 |
| 1124383328 | Matthew T Perry | Physical Therapist | 1408 Veterans Dr, 102, Elkhorn, NE 68022-6912 | 2012-07-12 |
| 1245531565 | Susan E Alberts | Physical Therapist | 1408 Veterans Dr, Suite 102, Elkhorn, NE 68022-6912 | 2010-11-03 |
| 1760623086 | Lyndsey G Degenhardt | Physician Assistant | 1408 Veterans Dr, Elkhorn, NE 68022-6912 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902825904 | Chad Michael Hillyer | Dermatology | 1408 Veterans Dr, Ste 100, Elkhorn, NE 68022-6912 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1558504803 | Daniel Dean Mosel | Dermatology | 2509 Halligan Drive, Suite E, North Platte, NE 69101-7858 | 2009-04-16 |
| 1528217395 | Justin Gerhard Madson | Dermatology | 4242 Farnam St., Suite 360, Omaha, NE 68131-2850 | 2008-09-16 |
| 1619144003 | Casey Bowen | Dermatology | 6969 South St, Lincoln, NE 68506-2835 | 2008-05-14 |
| 1457551889 | Dermatology Specialists of Omaha LLC | Dermatology | 909 N 96th St Ste 201, Omaha, NE 68114-2508 | 2007-07-24 |
| 1003014234 | Sharon B Bond Md PC | Dermatology | 125 E 31st St, Kearney, NE 68847-3001 | 2007-07-10 |
| 1508064833 | Robert J. Fonda, M.d., P.C. | Dermatology | 8601 W. Dodge Rd., Suite 118, Omaha, NE 68114-3457 | 2007-07-09 |
| 1740494806 | Tricia L Hultgren | Dermatology | 909 N 96 St, Suite 201, Omaha, NE 68114-2508 | 2007-05-09 |
| 1538382528 | John E Blomstedt IIi | Dermatology | 2 W 42nd St Ste 3500, Scottsbluff, NE 69361-4669 | 2007-04-10 |
| Find all providers with the same taxonomy | ||||
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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.