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DR. ALEXANDER NICOLAS SKIDMORE MD
NPI 1972178200
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since May 20, 2021PECOS Enrolled
740 SOUTH LIMESTONE, WING D, SUITE B-101, LEXINGTON, KY 40508(859) 323-5661 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Alexander Nicolas Skidmore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXANDER NICOLAS SKIDMORE MD (NPI 1972178200) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972178200
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALEXANDER NICOLAS SKIDMORECredential: MD
Location Address740 SOUTH LIMESTONE, WING D, SUITE B-101Lexington, KY 40508
Mailing Address704 Virginia Dare DrVirginia Beach, VA 23451-7100 · (757) 439-0240
Phone(859) 323-5661
Sole ProprietorNo
Enumeration DateMay 20, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1972178200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
740 SOUTH LIMESTONE, Lexington, KY 40508
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexander Nicolas Skidmore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA VAVRA WALKER M.D.
Plastic Surgery
740 SOUTH LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 257-8344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Skidmore's NPI number?

The NPI number for Alexander Skidmore is 1972178200. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Alexander Skidmore located?

Alexander Skidmore practices at 740 South Limestone Wing D, Suite B-101, Lexington, KY 40508. The listed phone number is (859) 323-5661.

What is Alexander Skidmore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexander Skidmore enrolled in Medicare?

Yes. Alexander Skidmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Skidmore was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.