Gary Owen Skinner, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R5996 Issued in MO

Practice address

18675 East 39TH Street
Suite M
Independence, MO 64057-1762

Phone

(816) 795-9911

Fax

(816) 795-1911

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275634859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18675 EAST 39TH STREET",
            "address_2": "SUITE M",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571762",
            "telephone_number": "816-795-9911",
            "fax_number": "816-795-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18675 EAST 39TH STREET",
            "address_2": "SUITE M",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571762",
            "telephone_number": "816-795-9911",
            "fax_number": "816-795-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "GARY",
        "middle_name": "OWEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R5996",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "692",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "0516202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Sinclair, CPS
• Ajay Singh, MD
• Ryanna Kay Singleton
• Serina Sitchler, COTA
• Munaf Siyamwala, M.D.
• Kelly K Skinner, FNP - C
• Jennifer D Skouse-Voll, P.A.
• Sleep Matters LLC
• Amara Leigh Sluder, FNP-C
• Olivia K Sluder, MSW, LCSW

• All providers in Independence, MO
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.