Individual provider Active NPI

Stephanie A Skolik, MD

  • Ophthalmology Physician
  • Huntington, WV
National Provider Identifier
1033101761
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15984 Issued in WV
Practice address
1616 13TH Ave
Suite 3B
Huntington, WV 25701-3840
Phone
(304) 525-1404
Fax
(304) 523-9763
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15984 WV Primary

Addresses

Primary practice location

1616 13TH Ave
Suite 3B
Huntington, WV 25701-3840

Mailing address

1616 13TH Ave
Suite 3B
Huntington, WV 25701-3840
Phone (304) 525-1404

Other identifiers 3

IdentifierTypeStateIssuer
64697600MedicaidKY
0042669-000MedicaidWV
2067212MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000426 WV Practitioner - Ophthalmology 3072602168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JC Edwards School of Medicine, Marshall University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1616 13TH Ave
Suite 3B
Huntington, WV 25701-3840
Phone (304) 525-1404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as individual
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Retina Center, Inc. CurrentSince Sep 5, 2000 Accepting new patients
West Virginia Eye Consultants, LLC Ophthalmology PastSince Sep 5, 2000 Accepting new patients
Minardi Eye Center, Inc. Ophthalmology Past Accepting new patients

Locations

1616 13th Ave
Ste 3B
Huntington, WV 25701
Phone (304) 343-3937

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1033101761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE",
            "address_2": "SUITE 3B",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-525-1404",
            "fax_number": "304-523-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE",
            "address_2": "SUITE 3B",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-525-1404",
            "fax_number": "304-523-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLIK",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "15984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64697600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042669-000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067212",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.