Individual provider Active NPI

Stephen Anthony Skaleski, M.D.

  • Family Medicine Physician
  • Presque Isle, ME
National Provider Identifier
1316031016
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD14800 Issued in ME
Practice address
8 Northern Rd
Presque Isle, ME 04769-2040
Phone
(207) 764-7219
Fax
(207) 769-2409
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 014800 ME
Family Medicine Physician 207Q00000X MD14800 ME Primary

Addresses

Primary practice location

8 Northern Rd
Presque Isle, ME 04769-2040

Mailing address

8 Northern Rd
Presque Isle, ME 04769-2040
Phone (207) 764-7219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000061 TX Practitioner - Family Practice 6608953351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014800MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
Micmac Health Department PastSince Dec 22, 2019 Accepting new patients

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1316031016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NORTHERN RD",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692040",
            "telephone_number": "207-764-7219",
            "fax_number": "207-769-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NORTHERN RD",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692040",
            "telephone_number": "207-764-7219",
            "fax_number": "207-769-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALESKI",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "014800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD14800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.