ROBERT L SKINNER DO, NPI 1558363689
Family Medicine in SOUTHAVEN, MS
Last Updated on : Jun 21,2013
About ROBERT L SKINNER (NPI 1558363689)
ROBERT L SKINNER is a Family Medicine provider in SOUTHAVEN, United States. His medical specialization is Family Medicine .
1558363689 is NPI number of ROBERT L SKINNER.
ROBERT L SKINNER's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 16397. This taxonomy code refers to Family Medicine.
ROBERT L SKINNER has more than 17 years of experience.
ROBERT L SKINNER current practice location address is 3451 GOODMAN RD, SOUTHAVEN, MS. ROBERT L SKINNER can be reached out via phone at 662-890-5555 and via fax at 662-890-8899 .
You can also correspond with ROBERT L SKINNER through mail at mailing address 3451 GOODMAN RD, SOUTHAVEN, MS, United States. Mailing address contact number is 662-890-5555.
The enumeration date of ROBERT L SKINNER is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 10 years ago.1558363689 NPI Information
Basic NPI information of ROBERT L SKINNER (NPI 1558363689) is provided below.
| Name | ROBERT L SKINNER |
|---|---|
| National Provider Id (NPI) | 1558363689 |
| Entity Type | Individual |
| Gender | M |
| Credential | DO |
| Practice Address | 3451 GOODMAN RD,
STE 115
SOUTHAVEN, MS, United States |
| Practice Telephone | 662-890-5555 |
| Practice Fax Number | 662-890-8899 |
| Mailing Address | 3451 GOODMAN RD ,
STE 115
SOUTHAVEN, MS, United States |
| Mailing Telephone | 662-890-5555 |
| Mailing Fax Number | 662-890-8899 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 21-Jun-2013 |
ROBERT L SKINNER (NPI 1558363689) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 16397 | MS |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
ROBERT L SKINNER (NPI 1558363689) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | DO0000001485 | TN |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080003661 | MEDICARE PIN (08) | MS | |
| 080194851 | Other (non-Medicare) (01) | MS | Medicare Railroad |
| H19843 | MEDICARE UPIN (02) | MS |
ROBERT L SKINNER (NPI 1558363689) Office Location
Office location of ROBERT L SKINNER is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1255401030 | VERNON CHARLES PENNINGTON | Dentist | 1571 STATELINE,
SOUTHAVEN, MI, United States |
08-Nov-2006 |
| 1740347335 | NEW-ERA HOSPICE, LLC | Hospice Care, Community Based | PO BOX 1229,
SOUTHAVEN, MS, United States |
02-Jan-2007 |
| 1073798781 | JEFF JORDAN CUNNINGHAM | Otolaryngology | 7165 GETWELL RD,
BLDG H, SUITE 1 SOUTHAVEN, MS, United States |
02-Jan-2008 |
| 1326105586 | MATTHEW W CRAIN | Durable Medical Equipment & Medical Supplies | 3845 GOODMAN RD E,
SOUTHAVEN, MS, United States |
03-Jan-2007 |
| 1568609998 | SUSAN ORSLAND | Physical Therapist | 4355 GENEVIEVE DRIVE,
SOUTHAVEN, MS, United States |
07-Jan-2009 |
| 1588171128 | STEPHANIE EDWARDS | Nurse Practitioner, Psych/Mental Health | 1120 E MAIN ST STE 24,
PHILADELPHIA, MS, United States |
04-Jan-2018 |
| 1174501449 | WALTER EARL CARNAHAN | Family Medicine | 7900 AIRWAYS BLVD,
BLDG A SUITE 6 SOUTHAVEN, MS, United States |
05-Jan-2006 |
| 1518323708 | JAYA L DENTAL ARTS PLLC | Clinic/Center, Dental | 399 SOUTHCREST CT,
SUITE C SOUTHAVEN, MS, United States |
05-Jan-2016 |
| 1447616800 | KAREN ASHABRANNER | Occupational Therapist | 1890 GOODMAN RD E,
SUITE 201 SOUTHAVEN, MS, United States |
14-Jan-2016 |
| 1053469213 | CHRISTOPHER D BUDNY | Massage Therapist | PO BOX 1515,
SOUTHAVEN, MS, United States |
06-Jan-2007 |
| 1255661534 | TRINITY MEDICAL SOLUTIONS | Durable Medical Equipment & Medical Supplies | 1296 MARY JANE AVE,
MEMPHIS, TN, United States |
08-Jan-2010 |
| 1083071237 | WANDA BROWN | Nurse Practitioner, Women's Health | P O BOX 1000,
DEPT 978 MEMPHIS, TN, United States |
19-Jan-2016 |
| 1386829307 | CAMPBELL CLINIC PC | Durable Medical Equipment & Medical Supplies | 1400 S GERMANTOWN RD,
GERMANTOWN, TN, United States |
09-Jan-2008 |
| 1225427511 | ELIZABETH FRAZIER | Occupational Therapist | 1378 CARRIAGE VIEW LN,
SOUTHAVEN, MS, United States |
09-Jan-2015 |
| 1033626205 | ANNA KATHRYN MICHELL | Occupational Therapy Assistant | 6858 SWINNEA RD BLDG 4,
SOUTHAVEN, MS, United States |
09-Jan-2018 |
| 1235602392 | BAILEIGH BENNINGTON | Occupational Therapy Assistant | 83 AIRWAYS PL,
SOUTHAVEN, MS, United States |
10-Jan-2019 |
| 1619027661 | BETSY ENGLAND | Speech-Language Pathologist, | 4895 ROSEBROOK CIR E,
SOUTHAVEN, MS, United States |
11-Jan-2007 |
| 1558413807 | THADDEUS B GAILLARD | Obstetrics & Gynecology, Gynecology | PO BOX 381257,
GERMANTOWN, TN, United States |
17-Jan-2007 |
| 1871643619 | JAMILA SMITH | Physical Therapy Assistant | 2822 PINNACLE DR,
SOUTHAVEN, MS, United States |
12-Jan-2007 |
| 1629373279 | ASHLEY R ROBINS | Dietitian, Registered | 7601 SOUTHCREST PKWY,
SOUTHAVEN, MS, United States |
12-Jan-2011 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1558363689?1558363689 is the NPI number of ROBERT L SKINNER.
What is the specialty for ROBERT L SKINNER?The Specialty of ROBERT L SKINNER is Family Medicine.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|