Leeann B Skladan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

00285 Issued in NC

Practice address

703 Newman Rd
New Bern, NC 28562-5239

Phone

(252) 633-2900

Fax

(252) 633-9609

NPI assigned

Jun 2, 2005

Last updated

Dec 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1063416329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2900",
            "fax_number": "252-633-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2900",
            "fax_number": "252-633-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLADAN",
        "first_name": "LEEANN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "00285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131NY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Sittig
• Kelly Lyn Skala, LPC
• Thomas Spencer Skelton, M.D.
• Mary Theresa Skinner-Vance
• Jessica Heather Skinner, MSW, LCSW
• Erika Slade
• Michael J Slisz, D.O.
• Aleta Lynn Sloan, PA
• Timothy C. Sloan, MD
• Kyle Slough

• Pediatrics Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.