Individual provider Active NPI

Boro Skoric, ACA, AUDIOPROSTHOLOG

  • Hearing Instrument Specialist
  • Saginaw, MI
National Provider Identifier
1083861769
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501001976 Issued in MI
Practice address
5462 State St
Saginaw, MI 48603-3678
Phone
(989) 793-7620
Fax
(989) 793-2044
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501001976 MI Primary

Addresses

Primary practice location

5462 State St
Saginaw, MI 48603-3678

Mailing address

5462 State St
Saginaw, MI 48603-3678
Phone (989) 793-7620

Other identifiers 1

IdentifierTypeStateIssuer
1174774087OtherMIBLUE CROSS

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

State licenses

LicenseStateTypeSpecialty
3501001976MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Skoric Hearing Aid Center LLC Current Accepting new patients
Skoric Hearing Aid Center LLC Current Accepting new patients
Skoric Hearing Aid Center II, LLC Current Accepting new patients

Locations

4084 State St
Saginaw, MI 48603
Phone (989) 401-7444

5462 State St
Saginaw, MI 48603
Phone (989) 791-4771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1083861769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033678",
            "telephone_number": "989-793-7620",
            "fax_number": "989-793-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5462 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033678",
            "telephone_number": "989-793-7620",
            "fax_number": "989-793-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORIC",
        "first_name": "BORO",
        "name_prefix": "Mr.",
        "credential": "ACA, AUDIOPROSTHOLOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501001976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1174774087",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.