Provider Demographics
NPI:1437292836
Name:SKAROS, ERIN LYNN (PA)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LYNN
Last Name:SKAROS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:LYNN
Other - Last Name:KRATSAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:151 SOUTHHALL LN STE 300
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7172
Mailing Address - Country:US
Mailing Address - Phone:724-774-5255
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:ROOM 9055
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-802-8271
Practice Address - Fax:412-647-4486
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052200363AS0400X
PAMD052200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PW119270M4DMedicare PIN