KILE SKROBACKI (NPI# 1750827416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750827416 |
| Entity Type | Individual |
| Full Name | KILE SKROBACKI |
| Credential | PA-C |
| Practice Address |
350 7th St N Naples FL 34102-5754 |
| Mailing Address |
Po Box 8569 Naples FL 34101-8569 |
| Practice Telephone | 2396244650 |
| Practice Fax Number | 2396244651 |
| Mailing Telephone | 2396240400 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9112880 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105863900 | 05 | |
| FL | FLORIDA BLUE | H4NXO | 01 |
| Street Address |
350 7TH ST N |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738698 | Adil Mohamed Sanaulla | Internal Medicine | 350 7th St N, Naples, FL 34102-5754 | 2005-05-31 |
| 1649871005 | Sharay Estevez | Nurse Practitioner | 350 7th St N, Naples, FL 34102-5754 | 2020-11-03 |
| 1104434562 | Farnaz Abbasimoradi | Internal Medicine | 350 7th St N, Naples, FL 34102-5754 | 2020-07-21 |
| 1881211993 | Keegan Todd Plowman | Internal Medicine | 350 7th St N, Naples, FL 34102-5754 | 2020-07-06 |
| 1043836927 | Valerie Dornema | Registered Nurse | 350 7th St N, Naples, FL 34102-5754 | 2020-06-17 |
| 1821613985 | Matthew Gregory Miller | Student in an Organized Health Care Education/Training Program | 350 7th St N, Naples, FL 34102-5754 | 2020-06-14 |
| 1346864063 | Blirjon Baxhija | Internal Medicine | 350 7th St N, Naples, FL 34102-5754 | 2020-05-29 |
| 1235753872 | Ryan Holbrook | Student in an Organized Health Care Education/Training Program | 350 7th St N, Naples, FL 34102-5754 | 2020-05-29 |
| 1295363927 | Amr Samy Abdelmohsen | Student in an Organized Health Care Education/Training Program | 350 7th St N, Naples, FL 34102-5754 | 2020-03-30 |
| 1578191326 | Nicholas Anthony Mcdonald | Student in an Organized Health Care Education/Training Program | 350 7th St N, Naples, FL 34102-5754 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1669591673 | Tansy Walker | Physician Assistant | 6101 Pine Ridge Rd # Pfs4, Naples, FL 34119-3900 | 2007-03-29 |
| 1730222662 | Myles Rubin Samotin Md Pa | Physician Assistant | 870 111th Ave N Ste 4, Naples, FL 34108-1869 | 2007-02-14 |
| 1366412405 | Kevin J Gallen | Physician Assistant | 1350 Tamiami Trl N, #202, Naples, FL 34102-5203 | 2006-01-23 |
| 1417598970 | Ryan Thomas Hebda | Physician Assistant | 1250 Pine Ridge Rd Ste 201, Naples, FL 34108-8913 | 2019-10-04 |
| 1144796004 | Aleem Uddin | Physician Assistant | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2018-10-18 |
| 1063922110 | David T Albritton | Physician Assistant | 1250 Pine Ridge Rd Ste 203, Naples, FL 34108-8913 | 2017-10-03 |
| 1093250763 | Dana Zeitler | Physician Assistant | 1250 Pine Ridge Rd, Naples, FL 34108-8913 | 2017-01-04 |
| 1376086934 | Melissa M Guzman | Physician Assistant | 399 9th St N, Naples, FL 34102-5820 | 2016-11-29 |
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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.