MATTHEW D. SKINNER


Address: 2601 E Roosevelt St, Dept of Internal Medicine, Phoenix, AZ 85008-4973
Phone: 6023445027

MATTHEW D. SKINNER (NPI# 1396070819) 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) 1396070819
Entity Type Individual
Full Name MATTHEW D. SKINNER
Credential MD
Practice Address 2601 E Roosevelt St
Dept of Internal Medicine
Phoenix
AZ 85008-4973
Mailing Address 3655 W Anthem Way
Suite A109 Pmb 313
Anthem
AZ 85086
Practice Telephone 6023445027
Mailing Telephone 6023636528
Enumeration Date 2009-10-16
Last Update Date 2015-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
46497 AZ Allopathic & Osteopathic Physicians

Other Providers MATTHEW SKINNER

NPI Name Taxonomy Address Enumeration
1588131577 Matthew Skinner Counselor 7428 Frederick St, Omaha, NE 68124-3412 2018-10-28
1033672910 Matthew Skinner Student in an Organized Health Care Education/Training Program 1500 S Main St, Fort Worth, TX 76104-4917 2019-04-09
1609133750 Matthew James Skinner Internal Medicine 9898 Genesee Ave, 1st Floor (amp 130), La Jolla, CA 92037 2012-04-13
1184873408 Matthew Walter Skinner Counselor 2120 S Mcclintock Dr Ste 105, Tempe, AZ 85282-2692 2008-09-10

Office Location

Street Address 2601 E ROOSEVELT ST
DEPT OF INTERNAL MEDICINE
City PHOENIX
State AZ
Zip Code 85008-4973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538166152 Paul Zidel I Orthopaedic Surgery 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 2005-06-29
1881293165 Christina Wellman Registered Nurse 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-10-19
1639786544 Lindsey Tow Nurse Anesthetist, Certified Registered 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-09-24
1003424102 Susannamma Lijan Nurse Practitioner 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-07-15
1184241705 Katharine Witham Anesthesiology 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-06-30
1417574435 Vishal Ravella Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 2020-06-26
1841814894 Anthony Howard Arnett Nurse Anesthetist, Certified Registered 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-06-05
1053932277 Bhavesh Shukla Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-28
1659991016 Luis Francisco Meza Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-25
1396365839 Nicholas Donahue Winter Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607060 Am Apnea and Tmj LLC Durable Medical Equipment & Medical Supplies 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 2020-07-23
1194341131 Abdulbaril Olandapo Olagunju Student in an Organized Health Care Education/Training Program 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 2020-06-24
1376164632 Abdul Rahman Raed Mustafa Halawa Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 2020-04-28
1245869460 Zachary Masuda Student in an Organized Health Care Education/Training Program Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 2020-04-08
1942840145 Cana Behavior LLC Physical Therapist 2412 N 36 Pl, Phoenix, AZ 85008 2020-01-15
1871158188 Fred Gardezy Student in an Organized Health Care Education/Training Program Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 2019-05-02
1225692346 Navkaran Singh Girgla Student in an Organized Health Care Education/Training Program 2601 East Roosevelt St., Phoenix, AZ 85008 2019-04-24
1316412323 Southwest Human Developement Early Intervention Provider Agency 2850 N 24h Street, Phoenix, AZ 85008 2018-10-05
1558885970 Mona Ridhwan Ziems Midwife 1919 N 31st St, Phoenix, AZ 85008 2017-07-27
1093244451 Shana Cynamon Audiologist 1801 N 37th Pl, Phoenix, AZ 85008 2017-06-08
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013485762 Todd Charles Coslett Internal Medicine 4149 W Kaler Dr, Phoenix, AZ 85055 2018-11-09
1689126971 Azmobilemd Internal Medicine 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 2016-11-02
1437457058 Southwest Geriatrics & Internal Medicine Pllc Internal Medicine 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 2011-03-06
1619043890 Stephen J Joyce Internal Medicine 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 2006-11-28
1952403644 Robert Iles Sandifur Jr. Internal Medicine 2716 E Vista Dr, Phoenix, AZ 85032-4958 2006-09-02
1265488258 Walter John Nieri Internal Medicine 6510 N 27th St, Phoenix, AZ 85016-8943 2006-05-25
1700850922 Andrew W March Internal Medicine 7244 N 12th Ave, Phoenix, AZ 85021-8022 2006-02-14
1962067363 Kehart Lynn Flom Racoma Internal Medicine 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 2019-05-01
1942776646 Kelly Schultz, LLC. Internal Medicine 4555 E Mayo Blvd, Phoenix, AZ 85050-6952 2018-10-19
1033474119 Kk Mukkavilli Plc Internal Medicine 3333 E Indian School Rd, Suite 4, Phoenix, AZ 85018-5015 2012-07-05
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Competitor

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City PHOENIX
Zip Code 85008

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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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