Active NPI
Patricia Eileen Skidmore, AUD
- Audiologist
- Centerville, OH
National Provider Identifier
1295982965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.01302
- Practice address
- 8371 Yankee St
Centerville, OH 45458-1810 - Phone
- (937) 312-9368
- Fax
- (937) 312-9369
- NPI assigned
- Aug 25, 2008
- Last updated
- Oct 9, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.01302 | OH | Primary |
Addresses
Primary practice location
8371 Yankee St
Centerville, OH 45458-1810
Mailing address
8371 Yankee St
Centerville, OH 45458-1810
Phone (937) 312-9368
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.01302 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Lee Devore MD Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1295982965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8371 YANKEE ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454581810",
"telephone_number": "937-312-9368",
"fax_number": "937-312-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8371 YANKEE ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454581810",
"telephone_number": "937-312-9368",
"fax_number": "937-312-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDMORE",
"first_name": "PATRICIA",
"middle_name": "EILEEN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.01302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.