| Matthew Skinner, | |
| 1720 Spring Hill Ave Ste 301, Mobile, AL 36604-1409 | |
| (251) 435-2663 | |
| (251) 435-1098 | 
| Full Name | Matthew Skinner | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery - Sports Medicine | 
| Location | 1720 Spring Hill Ave Ste 301, Mobile, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033672910 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 51167 (Alabama) | Primary | 
| Entity Name | Tahoe Orthopedics & Sports Medicine, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902131287 PECOS PAC ID: 9537203351 Enrollment ID: O20100217000655 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Skinner, 1720 Spring Hill Ave Ste 301, Mobile, AL 36604-1409 Ph: (251) 435-2663 | Matthew Skinner, 1720 Spring Hill Ave Ste 301, Mobile, AL 36604-1409 Ph: (251) 435-2663 | 
| Derek Klavas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 | |
| Dr. Murphy Mcgriff Walters, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-665-8200 Fax: 251-665-8210 | |
| Mrs. Asra Toobaie, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-665-8200 Fax: 251-665-8210 | |
| Dr. Charles Henry Wilson Iv, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 | |
| Dr. Robert Ball Mcginley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 | |
| Dr. Blake David Bowden, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720 Spring Hill Ave Ste 3, Mobile, AL 36604 Phone: 251-435-2663 Fax: 251-435-1098 |