Skin Dermatology and Cosmetic Services, P.A.
NPI 1205270824 · Specialist · Orange City, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skin Dermatology and Cosmetic Services, P.A. is a Specialist organization in Orange City, FL (NPI 1205270824).
Provider details
- NPI number
- 1205270824
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ross Wheeler, Medical Director(407) 599-7546
- License
- ME73845 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4106 W Lake Mary Blvd Ste 325Lake Mary, FL 32746-3383Phone: (386) 256-1969Fax: (386) 960-7863
- 84 Pinnacles Dr Ste 400Palm Coast, FL 32164-2324Phone: (386) 256-1969Fax: (386) 960-7863
Registry dates
- Enumerated
- 2013-04-25
- Last updated
- 2021-03-22
- Certified
- 2021-03-22
Frequently asked questions
- What is Skin Dermatology and Cosmetic Services, P.A.'s NPI number?
- Skin Dermatology and Cosmetic Services, P.A.'s National Provider Identifier (NPI) is 1205270824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skin Dermatology and Cosmetic Services, P.A.?
- Skin Dermatology and Cosmetic Services, P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Skin Dermatology and Cosmetic Services, P.A. located?
- Skin Dermatology and Cosmetic Services, P.A.'s practice location on file with NPPES is 865 Saxon Blvd, Orange City, FL 32763-8204.
- What is Skin Dermatology and Cosmetic Services, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Skin Dermatology and Cosmetic Services, P.A. is (386) 256-1969.
- Does Skin Dermatology and Cosmetic Services, P.A. accept Medicare?
- Skin Dermatology and Cosmetic Services, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Skin Dermatology and Cosmetic Services, P.A.?
- The authorized official listed on Skin Dermatology and Cosmetic Services, P.A.'s NPPES record is Ross Wheeler, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skin Dermatology and Cosmetic Services, P.A.'s NPI active?
- Yes — Skin Dermatology and Cosmetic Services, P.A.'s NPI (1205270824) is active in the NPPES registry as of the last update on 2021-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.