Organization Active NPI

Roger G Skiles, MD, PA

  • Otolaryngology Physician
  • Frisco, TX
National Provider Identifier
1134423163
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G3791 Issued in TX
Legal business name
ROGER G SKILES, MD, PA
Practice address
5575 Warren Pkwy
Ste 104
Frisco, TX 75034-4062
Phone
(469) 633-9595
Fax
(469) 633-9460
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Laura Skiles
Title
Practice Manager
Phone
(469) 633-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G3791 TX Primary

Addresses

Primary practice location

5575 Warren Pkwy
Ste 104
Frisco, TX 75034-4062

Mailing address

5575 Warren Pkwy
Ste 104
Frisco, TX 75034-4062
Phone (469) 633-9595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1134423163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY",
            "address_2": "STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344062",
            "telephone_number": "469-633-9595",
            "fax_number": "469-633-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY",
            "address_2": "STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344062",
            "telephone_number": "469-633-9595",
            "fax_number": "469-633-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER G SKILES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "SKILES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "469-633-9595"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "G3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.