W. Ronald Skowsky, MD. LLC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12346R Issued in LA

Legal business name

W. RONALD SKOWSKY, MD. LLC.

Practice address

1801 Fairfield Ave
Ste 307
Shreveport, LA 71101-4443

Phone

(318) 841-2820

Fax

(318) 841-2821

NPI assigned

Dec 13, 2010

Organization subpart

Yes

Parent organization

W. RONALD SKOWSKY, MD. LLCAs reported in NPPES

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

Authorized official

Name

Sheila Stone

Title

Office Manager

Phone

(318) 841-2820

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

W Ronald Skowsky MD LLC

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1275836264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "STE 307",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014443",
            "telephone_number": "318-841-2820",
            "fax_number": "318-841-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "STE 307",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014443",
            "telephone_number": "318-841-2820",
            "fax_number": "318-841-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. RONALD SKOWSKY, MD. LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W. RONALD SKOWSKY, MD. LLC",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-841-2820"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "12346R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430625",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.