Skinmd
Skinmd is a healthcare organization registered as MOHS-Micrographic Surgery Physician in Lexington, KY, holding Type 2 (organization) NPI 1629497714 since 2014. The authorized official on file is Samuel Pruden, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629497714 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Skinmd |
| Practice address | 989 GOVERNORS LN, SUITE 220, Lexington, KY, 40513 |
| Phone | 8592967546 |
| Fax | 5136723323 |
| Enumeration date | 2014-04-16 |
| Last updated in NPPES | 2014-07-16 |
Authorized official
| Name | Samuel Pruden |
|---|---|
| Title | President |
| Phone | 8592767546 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Secondary | — | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | Primary | — | — |
Copy-ready billing details
Provider: Skinmd NPI: 1629497714 Taxonomy: 207ND0101X (MOHS-Micrographic Surgery Physician) Address: 989 GOVERNORS LN, SUITE 220, Lexington, KY, 40513
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083616064 | Debra Dellay | Individual | Acute Care Nurse Practitioner | Lexington, KY |
| 1962466680 | Joan Nerderman | Individual | Optometrist | Lexington, KY |
| 1093770570 | Paul Bertram | Individual | Optometrist | Lexington, KY |
| 1346400801 | Gretchen Kinchen | Individual | General Practice Dentistry | Lexington, KY |
| 1225287659 | Christian Rosevear | Individual | Chiropractor | Lexington, KY |
| 1558514299 | Chiro One Wellness Center of Beaumont Pllc | Organization | Chiropractor | Lexington, KY |
| 1154620110 | Vaxcare Georgia LLC | Organization | Family Medicine Physician | Lexington, KY |
| 1619377454 | Beaumont Integrated Medicine Psc | Organization | Adult Medicine Physician | Lexington, KY |
Verify this record
Cross-check NPI 1629497714 against the authoritative CMS record: view Skinmd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Skinmd?
Who is the authorized official for Skinmd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-16.