Active NPI
Gerard A. Skaziak, DPM
- Foot Surgery Podiatrist
- Guntersville, AL
National Provider Identifier
1265543524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 171
- Practice address
- 1604 Blount Ave
Guntersville, AL 35976-1840 - Phone
- (256) 582-7486
- Fax
- (256) 582-9844
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 171 | AL | Primary |
Addresses
Primary practice location
1604 Blount Ave
Guntersville, AL 35976-1840
Mailing address
PO Box 404
Guntersville, AL 35976-0404
Phone (256) 582-7486
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205 | Other | AL | LVFFC STATE LICENSE |
| 38652 | Other | AL | HEALTH PARTNERS |
| 1265543524 | Other | NPI INDIVIDUAL # | |
| 9861 | Other | AL | GUNTERSVILLE CITY LICENSE |
| 000078853 (5738) | Medicaid | AL | |
| 00171 | Other | AL | CONTROLLED SUBSTANCE LICE |
| 2710035 | Other | AL | UNITED HEALTH CARE |
| 721400816 | Other | NEW TAX ID # | |
| 171 | Other | AL | AL STATE LICENSE |
| 480024856 | Other | AL | RAILROAD MEDICARE |
| 631189931 | Other | OLD TAX ID # | |
| 1253800001 | Other | DMERC # | |
| 1306045588 | Other | GROUP NPI # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1604 Blount Ave
Guntersville, AL 35976-1840
Phone (256) 582-7486
9625 US Hwy 431
Albertville, AL 35950-0129
Phone (256) 582-7486
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 91 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 69 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171 | AL | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Family Foot Care L.L.C. | Foot Surgery | Current | Accepting new patients |
| Lakeview Family Foot Care L.L.C. | Current | Accepting new patients |
Locations
9625 US Highway 431
Albertville, AL 35950
Phone (256) 582-7486
1604 Blount Ave
Guntersville, AL 35976
Phone (256) 582-7486
Organizations & group practices 2
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.
-
- Foot Surgery Podiatrist
- Guntersville, AL
- NPI 1306045588
-
- Foot & Ankle Surgery Podiatrist
- Albertville, AL
- NPI 1851010789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265543524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359760404",
"telephone_number": "256-582-7486",
"fax_number": "256-582-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 BLOUNT AVE",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359761840",
"telephone_number": "256-582-7486",
"fax_number": "256-582-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAZIAK",
"first_name": "GERARD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "AL",
"license": "171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LVFFC STATE LICENSE",
"identifier": "1205",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "38652",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL #",
"identifier": "1265543524",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUNTERSVILLE CITY LICENSE",
"identifier": "9861",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000078853 (5738)",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE LICE",
"identifier": "00171",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2710035",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW TAX ID #",
"identifier": "721400816",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL STATE LICENSE",
"identifier": "171",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480024856",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OLD TAX ID #",
"identifier": "631189931",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC #",
"identifier": "1253800001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI #",
"identifier": "1306045588",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guntersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.