Mikel W Skousen DO LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1213 Issued in AZ

Legal business name

MIKEL W SKOUSEN DO LTD

Practice address

457 E 4TH PL
Mesa, AZ 85203-7154

Phone

(480) 833-5383

Fax

(480) 833-5385

NPI assigned

Apr 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mikel Willard Skousen, D.O.

Title

Physician

Phone

(480) 833-5383

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1073803508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 E 4TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037154",
            "telephone_number": "480-833-5383",
            "fax_number": "480-833-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 E 4TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037154",
            "telephone_number": "480-833-5383",
            "fax_number": "480-833-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKEL W SKOUSEN DO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "SKOUSEN",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "WILLARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-833-5383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midnimo Medical Transportation Corp
• Daniel E Miga, MD
• Matthew Migdat, DMD
• Migoto Management, LLC (Unique Dental Care)
• Andrea Mijak, MA
• Deja Mikesell
• Chasidy Mikkelson, LMT
• April Mikols, M.A., CCC-SLP
• Danica Milan
• Christina A Milburn, LMSW

• Primary Care Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.