Active NPI
William J Skelly, M.D.
- Orthopaedic Surgery Physician
- Wooster, OH
National Provider Identifier
1063410892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35055171
- Practice address
- 3727 Friendsville Rd
Suite 2
Wooster, OH 44691-7127 - Phone
- (330) 202-3440
- Fax
- (330) 202-3448
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35055171 | OH | Primary |
Addresses
Primary practice location
3727 Friendsville Rd
Suite 2
Wooster, OH 44691-7127
Mailing address
3727 Friendsville Rd
Suite 2
Wooster, OH 44691-7127
Phone (330) 202-3440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0973111 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35055171 | OH | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063410892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 FRIENDSVILLE RD",
"address_2": "SUITE 2",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917127",
"telephone_number": "330-202-3440",
"fax_number": "330-202-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 FRIENDSVILLE RD",
"address_2": "SUITE 2",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917127",
"telephone_number": "330-202-3440",
"fax_number": "330-202-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELLY",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35055171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0973111",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.