Organization Active NPI

Patrick S. Skulemowski, DO , PA

  • Obstetrics & Gynecology Physician
  • Brownsville, TX
National Provider Identifier
1003130899
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PATRICK S. SKULEMOWSKI, DO , PA
Practice address
585 W Jefferson St
Brownsville, TX 78520-6333
Phone
(956) 554-9722
Fax
(956) 554-9939
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick S Skulemowski, DO, PANPI 1629045000
Title
Physician
Phone
(956) 554-9722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

585 W Jefferson St
Brownsville, TX 78520-6333

Mailing address

PO Box 5395
Brownsville, TX 78523-5395
Phone (956) 554-9722

Other identifiers 3

IdentifierTypeStateIssuer
220676501MedicaidTX
220676504MedicaidTX
1003130899OtherTXMCR GRP NPI

National Provider Directory

National Provider Directory

Locations

864 Central Blvd
Ste 2800
Brownsville, TX 78520
Phone (956) 322-8845

3150 International Blvd
Ste A
Brownsville, TX 78521

864 Central Blvd
Ste 300
Brownsville, TX 78520
Phone (956) 541-6311

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1003130899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5395",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785235395",
            "telephone_number": "956-554-9722",
            "fax_number": "956-554-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W JEFFERSON ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206333",
            "telephone_number": "956-554-9722",
            "fax_number": "956-554-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK S. SKULEMOWSKI, DO , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SKULEMOWSKI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-554-9722",
        "authorized_official_credential": "DO, PA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220676501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220676504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR GRP NPI",
            "identifier": "1003130899",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.