Individual provider Active NPI

Ramzi Y. Skaik, MD, MBA, MHA

  • Student in an Organized Health Care Education/Training Program
  • Jeffersonville, IN
National Provider Identifier
1255960795
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
CV2000037 Issued in IN
Practice address
303 E Court Ave Ste 434
Jeffersonville, IN 47130-9998
Phone
(502) 807-2114
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X
Research Clinic/Center 261QR1100X XXXXXXX3X IN
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X XXXXXXXXX NJ
Professional Counselor 101YP2500X XXXXXXXXX NJ
Professional Counselor 101YP2500X XXXXXXX3X IN
Professional Counselor 101YP2500X NJDCATEMP-032353 NJ
Professional Counselor 101YP2500X
Primary Care Clinic/Center 261QP2300X NJDCATEMP-032353 NJ
Primary Care Clinic/Center 261QP2300X CV2000037 IN
Primary Care Clinic/Center 261QP2300X
Primary Care Clinic/Center 261QP2300X XXXXXXX3X IN
Student in an Organized Health Care Education/Training Program 390200000X XXXXXXX3X IN
Student in an Organized Health Care Education/Training Program 390200000X CV2000037 IN Primary

Addresses

Primary practice location

303 E Court Ave Ste 434
Jeffersonville, IN 47130-9998

Mailing address

303 E Court Ave Ste 434
Jeffersonville, IN 47130-9998

Other identifiers 2

IdentifierTypeStateIssuer
1255960795MedicaidIN
1255960795OtherIN01

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
XXXXXXX3XINMDProfessional Counselor
XXXXXXXXXNJMDProfessional Counselor
NJDCATEMP-032353NJMDPrimary Care Clinic/Center
CV2000037INMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rosehill Medical & PH Primary Care CurrentSince Jun 22, 2021 Accepting new patients

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1255960795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E COURT AVE STE 434",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E COURT AVE STE 434",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309998",
            "telephone_number": "502-807-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAIK",
        "first_name": "RAMZI",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "MD, MBA, MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "IN",
            "license": "XXXXXXX3X",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "XXXXXXXXX",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "XXXXXXXXX",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "XXXXXXX3X",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "NJDCATEMP-032353",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "NJDCATEMP-032353",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "CV2000037",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "XXXXXXX3X",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "XXXXXXX3X",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "CV2000037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255960795",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "01",
            "identifier": "1255960795",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.