Organization Active NPI

John Skouge MD PA

  • Specialist
  • Lutherville, MD
National Provider Identifier
1245560408
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0026614 Issued in MD
Legal business name
JOHN SKOUGE MD PA
Practice address
1302 Bellona Ave
Lutherville, MD 21093-5425
Phone
(410) 825-6810
Fax
(410) 825-1621
NPI assigned
Jan 11, 2010
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dr. John W Skouge, M.D.NPI 1538136452
Title
President
Phone
(410) 825-6810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X D0026614 MD Primary

Addresses

Primary practice location

1302 Bellona Ave
Lutherville, MD 21093-5425

Mailing address

1302 Bellona Ave
Lutherville, MD 21093-5425
Phone (410) 825-6810

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1245560408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 BELLONA AVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935425",
            "telephone_number": "410-825-6810",
            "fax_number": "410-825-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 BELLONA AVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935425",
            "telephone_number": "410-825-6810",
            "fax_number": "410-825-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SKOUGE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "SKOUGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-825-6810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0026614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.