SKINNER MEDICAL LLC
NPI 1013721463
Physician Assistant - Medical in Elk City, OK
Active since February 05, 2025
About Skinner Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKINNER MEDICAL LLC (NPI 1013721463) is a healthcare organization registered as a medical in Elk City, Oklahoma and active in the NPI registry since February 2025. The organization lists Ashlee Lynn Skinner, Owner, as its authorized official.
NPPES Registry Identity
NPI1013721463
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameSKINNER MEDICAL LLC
Location Address1925 W 3RD ST STE 1Elk City, OK 73644-0001
Mailing AddressPo Box 378Elk City, OK 73648-0378 · (580) 243-9682 · Fax (580) 297-9096
Phone(580) 243-9682
Fax(580) 297-9096
Organization SubpartNo
Authorized OfficialAshlee Lynn SkinnerOwner · (580) 243-9682
Enumeration DateFebruary 5, 2025
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1013721463 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1925 W 3RD ST STE 1, Elk City, OK 73644
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013721463, enumerated as an "organization" on February 05, 2025.
The provider is located at 1925 W 3RD ST STE 1 ELK CITY, OK 73644 and the phone number is (580) 243-9682.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.