SKIN PC (NPI# 1801277801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801277801 |
| Entity Type | Organization |
| Organization Name | SKIN PC |
| Practice Address |
1935 E Military Ave Fremont NE 68025-5489 |
| Practice Telephone | 4027277979 |
| Practice Fax Number | 4027279306 |
| Mailing Telephone | 4027277979 |
| Mailing Fax Number | 4027279306 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | CHAD HILLYER (OWNER) |
| Authorized Official Telephone | 4027277979 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447629886 | Skin PC | Dermatology | 905 Alpine Ave, Boulder, CO 80304-3305 | 2015-09-16 |
| 1134410764 | Skin PC | Dermatology | 1408 Veterans Dr, Suite 100, Elkhorn, NE 68022-6912 | 2011-04-30 |
| 1821118613 | Skin PC | Dermatology | 1830 Town Center Dr, Suite 410, Reston, VA 20190-3292 | 2007-03-29 |
| Street Address |
1935 E MILITARY AVE |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-5489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588855613 | Martin F Sears Md | Internal Medicine | 1935 E Military Ave, Suite 2, Fremont, NE 68025-5489 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| 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 |
|---|---|---|---|---|
| 1447220215 | East Bay Dermatology Medical Group Inc | Dermatology | 2557 Mowry Ave, Ste 34 and Ste 25, Fremont, CA 94538 | 2006-01-25 |
| 1811550197 | Mallory Ann Hoskins | Dermatology | 410 E 22nd St, Fremont, NE 68025-2639 | 2019-04-22 |
| 1124351051 | Nilanthi Gunawardane | Dermatology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2009-09-10 |
| 1043386527 | Rebecca L. Shpall | Dermatology | 3200 Kearney Street, Fremont, CA 94538-2299 | 2006-11-28 |
| 1386729044 | Stephen B. Martinez | Dermatology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| 1508941279 | Akhil Wadhera | Dermatology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| 1215012976 | Stephanie Friduss | Dermatology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| 1851476527 | Tracie B. Tavel | Dermatology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| 1841386489 | Tatiana Grzeszkiewicz | Dermatology | 3200 Kearney St, Palo Alto Medical Foundation Dermatology, Fremont, CA 94538-2299 | 2006-10-04 |
| 1629032271 | Matthew Harrison Kanzler | Dermatology | 3200 Kearney Street, Dermatology Department, Fremont, CA 94538-2299 | 2006-04-12 |
| Find all providers in FREMONT | ||||
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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.