Organization Active NPI

Mark E. Skellenger MD PA

  • Specialist
  • Houston, TX
National Provider Identifier
1154587194
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E6620 Issued in TX
Legal business name
MARK E. SKELLENGER MD PA
Practice address
445 Bay Area Blvd
Houston, TX 77058-2622
Phone
(281) 990-8346
Fax
(281) 990-9984
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Mark E Skellenger, MD
Title
Owner
Phone
(281) 990-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E6620 TX Primary

Addresses

Primary practice location

445 Bay Area Blvd
Houston, TX 77058-2622

Mailing address

445 Bay Area Blvd
Houston, TX 77058-2622
Phone (281) 990-8346

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1154587194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582622",
            "telephone_number": "281-990-8346",
            "fax_number": "281-990-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582622",
            "telephone_number": "281-990-8346",
            "fax_number": "281-990-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. SKELLENGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SKELLENGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-990-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E6620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.