Skin Dermatology and Cosmetic Services, P.A.
NPI 1205270824ActiveOrganization· Specialist· Orange City, FL
Specialist in Orange City, Florida, registered in NPPES in April 2013. The authorized official on file is Ross Charles Wheeler, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205270824 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2013 |
| Last updated in NPPES | Mar 22, 2021 |
| Certified by provider | Mar 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | ME73845 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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