PAUL SKINNER (NPI# 1619064417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619064417 |
| Entity Type | Individual |
| Full Name | PAUL SKINNER |
| Practice Address |
100 Slocum Drive King Cove AK 99612-0000 |
| Mailing Address |
36800 Westway Rd Kenai AK 99611 |
| Practice Telephone | 9074972311 |
| Practice Fax Number | 9074972310 |
| Mailing Telephone | 9073351962 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 709 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639528581 | Paul Skinner | Dietitian, Registered | 1925 N Veterans Blvd Apt 304, Eagle Pass, TX 78852-4467 | 2016-06-10 |
| 1144303728 | Paul B Skinner Jr. | Family Medicine | 800 Pelham Rd, Greenville, SC 29615-3300 | 2006-10-24 |
| 1316998800 | Paul Ray Skinner | Counselor | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-05-12 |
| 1578555231 | Paul Skinner | Anesthesiology | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2005-08-18 |
| Street Address |
100 SLOCUM DRIVE |
| City | KING COVE |
| State | AK |
| Zip Code | 99612-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832049 | Cosette Marie Nielsen | Student in an Organized Health Care Education/Training Program | 100 Slocum Drive, King Cove, AK 99612-9961 | 2019-07-05 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| 1972082592 | Brenda Wilson | Counselor | 100 Slocum Drive, King Cove, AK 99612-0009 | 2018-08-14 |
| 1689048118 | Susan Starr Higley-bailey | Registered Nurse | 100 Slocum Drive, King Cove, AK 99612-0009 | 2015-11-20 |
| 1598189714 | Vincent Perino | Physician Assistant | 100 Slocum Drive, King Cove Clinic, King Cove, AK 99612-0100 | 2014-02-07 |
| 1275875742 | Erik J Linduska | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2013-03-22 |
| 1376839233 | Riza Zoe Bendixen | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2011-06-20 |
| 1154636207 | Summer Ann Mack | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-13 |
| 1235444886 | Anthony R Brown | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-06 |
| 1417192410 | Joanna R. Fountain | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2008-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285825596 | Sevilla Ingersoll Love | Social Worker | 100 Slocum Dr., King Cove, AK 99612 | 2007-08-05 |
| 1144252529 | Michael E Costa | Dentist | 100 Slocum Dr, King Cove, AK 99612 | 2006-07-07 |
| 1912317207 | Christine Prokop | Counselor | 9 Main Street, King Cove, AK 99612 | 2014-05-07 |
| 1861676843 | Jenny Louise Kenezuroff | Specialist | 101 Slocum Drive, King Cove, AK 99612-0009 | 2007-12-26 |
| 1841474848 | Priscilla Jean Miller | Specialist | 101 Slocum Drive, King Cove, AK 99612-0009 | 2007-12-27 |
| 1821457227 | King Cove Fire & Rescue | Ambulance | 289 Rams Creek Drive, King Cove, AK 99612-0289 | 2016-02-15 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598189714 | Vincent Perino | Physician Assistant | 100 Slocum Drive, King Cove Clinic, King Cove, AK 99612-0100 | 2014-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517226 | Robin Lynn Morris | Physician Assistant | 3275 Togiak St, Kenai, AK 99611-8483 | 2020-10-27 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1043775414 | Brandon James Wilson | Physician Assistant | Uscg Base Kodiak Rockmore-king Clinic, 200 Albatross Ave Bldg N-46, Kodiak, AK 99615-6810 | 2019-02-09 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1427539261 | Aimee Johnson | Physician Assistant | 1640 Cowles St Ste 1, Fairbanks, AK 99701-5908 | 2018-08-28 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1215443122 | Denali Surgical Services, LLC | Physician Assistant | 12110 Business Blvd Ste 6 #410, Eagle River, AK 99577-7798 | 2017-12-15 |
| 1497274419 | Pearl Margaret Churchill | Physician Assistant | Usibelli Spur Road, Healy, AK 99743 | 2017-09-11 |
| 1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
| 1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
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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.