Active NPI
Ramzi Y. Skaik, MD, MBA, MHA
- Student in an Organized Health Care Education/Training Program
- Jeffersonville, IN
National Provider Identifier
1255960795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- CV2000037
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255960795 | Medicaid | IN | |
| 1255960795 | Other | IN | 01 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXXX3X | IN | MD | Professional Counselor |
| XXXXXXXXX | NJ | MD | Professional Counselor |
| NJDCATEMP-032353 | NJ | MD | Primary Care Clinic/Center |
| CV2000037 | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosehill Medical & PH | Primary Care | Current | 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.