SANDRA JO SKIDELL


Address: 2140 Centerville Rd, Tallahassee, FL 32308-4314
Phone: 8503833382

SANDRA JO SKIDELL (NPI# 1356405815) 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) 1356405815
Entity Type Individual
Full Name SANDRA JO SKIDELL
Credential PA-C
Practice Address 2140 Centerville Rd
Tallahassee
FL 32308-4314
Mailing Address 1965 Capital Cir Ne
Ste 200
Tallahassee
FL 32308-8402
Practice Telephone 8503833382
Mailing Telephone 8506562006
Mailing Fax Number 8506562820
Enumeration Date 2006-12-20
Last Update Date 2016-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA 2697 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2140 CENTERVILLE RD
City TALLAHASSEE
State FL
Zip Code 32308-4314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538109111 James Wendell Cade Family Medicine 2140 Centerville Rd, Tallahassee, FL 32308-4314 2006-06-08
1407219108 Rebecca Alene Wendt Family Medicine 2140 Centerville Rd, Tallahassee, FL 32308-4314 2016-03-30
1801237979 Melissa Wilson Pharmacist 2140 Centerville Rd, Tallahassee, FL 32308-4314 2013-07-17
1255690244 Amanda Pearcy Davis Family Medicine 2140 Centerville Rd, Tallahassee, FL 32308-4314 2012-05-10
1336370428 Suma Sree Dondapati Internal Medicine 2140 Centerville Rd, Tallahassee, FL 32308-4314 2009-08-06
1104076942 Marissa North Adamson Optometrist 2140 Centerville Rd, Tallahassee, FL 32308-4314 2008-09-29
1639346968 Amy Reimer Neal Family Medicine 2140 Centerville Rd, Tallahassee, FL 32308-4314 2008-05-15
1730381732 Kristi Marsha Reese Family Medicine 2140 Centerville Rd, Tallahassee, FL 32308-4314 2007-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215588306 Jmc Tallahassee, LLC Preventive Medicine 1838 Jacliff Court, Tallahassee, FL 32308 2019-09-20
1972165108 Covenant Home Health Care, LLC Home Health 1921 Capital Circle Ne, Tallahassee, FL 32308 2019-07-09
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1013491596 Injury and Rehab Centers of North Florida, LLC Neuromusculoskeletal Medicine & OMM 2268 Wednesday Street, Tallahassee, Florida, FL 32308 2018-09-20
1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
Find all providers in zip 32308

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
1104481886 Jackson Ray Handley Jr. Physician Assistant 650 Old Dirt Rd, Tallahassee, FL 32317-8575 2019-05-07
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1417360074 Kartik Gopal Physician Assistant 1401 Centerville Rd Unit 710, Tallahassee, FL 32308-4641 2014-06-11
1538496955 Dawn K Jones Physician Assistant 2040 Fleischmann Road, Tallahassee, FL 32308 2009-11-05
1306179734 Rebekah G Simmons-todd Physician Assistant 2420 E Plaza Dr, Tallahassee, FL 32308-5353 2009-09-17
1851624985 Beverly Carol Walker Physician Assistant 1632 Riggins Road, Tallahassee, FL 32308-5316 2009-09-08
1346467578 Carrie Lynn Snider Physician Assistant 1707 Riggins Road, Tallahassee, FL 32308-5317 2007-04-19
1992777973 Julia M Mitchell Physician Assistant 2452 Mahan Dr Ste 101, Tallahassee, FL 32308-5377 2006-02-03
1841261336 Gregory Sydnor Laffitte Physician Assistant 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 2006-02-01
1134107352 Shellie Cornelius Physician Assistant 1541 Medical Dr, Tallahassee, FL 32308-4615 2006-01-06
Find all providers in TALLAHASSEE

Competitor

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City TALLAHASSEE
Zip Code 32308

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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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