Skyline Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SKYLINE FAMILY PRACTICE PC

Practice address

841 N Shenandoah Ave
Front Royal, VA 22630-3501

Phone

(540) 636-7000

Fax

(540) 636-7029

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Patsy Ann Clark

Title

Front Office Manager

Phone

(540) 636-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104900513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303501",
            "telephone_number": "540-636-7000",
            "fax_number": "540-636-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303501",
            "telephone_number": "540-636-7000",
            "fax_number": "540-636-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FRONT OFFICE  MANAGER",
        "authorized_official_telephone_number": "540-636-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Shenk
• Catherine Ann Shrout, LCSW
• Dianna Siever, RBT
• Audra Sites, RBT
• Skyline Dental Care
• Skyline Medical Practice LLC
• Amanda Smith
• Sadie Suzanna Smith
• Susan Smith
• Elizabeth Moomaw Somers, DO

• Family Medicine Physician in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.