Individual provider Active NPI

Christopher J Skocik, D.O.

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1104829126
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004836S Issued in OH
Practice address
626 Central Ctr
Chillicothe, OH 45601-2248
Phone
(740) 774-2800
Fax
(740) 774-2803
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34004836S OH Primary

Addresses

Primary practice location

626 Central Ctr
Chillicothe, OH 45601-2248

Mailing address

272 Hospital Rd
Chillicothe, OH 45601-9031

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.fam.med.chillicothe@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080117000001 OH Practitioner - Family Practice 2365450293 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34004836SOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Family Medicine CurrentSince Feb 23, 2010 Accepting new patients

Locations

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

626 Central Ctr
Chillicothe, OH 45601
Phone (740) 774-2800

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1104829126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012248",
            "telephone_number": "740-774-2800",
            "fax_number": "740-774-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOCIK",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004836S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.chillicothe@adena.medicity.net",
            "affiliation": "N",
            "address_1": "626 Central Ctr",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456012248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.