Individual provider Active NPI

Padget Elizabeth Smith Skogman, M.D.

  • Pediatrics Physician
  • Cedar Rapids, IA
National Provider Identifier
1295149060
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-44894 Issued in IA
Practice address
701 10TH St SE # Level4
Cedar Rapids, IA 52403-1251
Phone
(319) 861-7900
Fax
(318) 861-7950
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-44894 IA Primary

Addresses

Primary practice location

701 10TH St SE # Level4
Cedar Rapids, IA 52403-1251

Mailing address

701 10TH St SE # Level4
Cedar Rapids, IA 52403-1251
Phone (319) 861-7900

Other names 1

  • Padget Elizabeth Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-44894IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Mercy Medical Center Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

701 10th St SE
#4
Cedar Rapids, IA 52403
Phone (319) 861-7900

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

701 10th St SE
Fl 4
Cedar Rapids, IA 52403
Phone (319) 221-8400

Interoperability endpoints

  • Direct secure messaging: pskogman611965@direct.unitypoint.org

Organizations & group practices 3

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1295149060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE # LEVEL4",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-861-7900",
            "fax_number": "319-861-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE # LEVEL4",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-861-7900",
            "fax_number": "318-861-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOGMAN",
        "first_name": "PADGET",
        "middle_name": "ELIZABETH SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-44894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PADGET",
            "last_name": "SMITH",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.