Active NPI
Karen M Sklodowski, PA-C
- Medical Physician Assistant
- Parma, OH
National Provider Identifier
1336272889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50001345
- Practice address
- 6681 Ridge Rd
Suite 300
Parma, OH 44129-5713 - Phone
- (440) 842-1295
- Fax
- (216) 351-3619
- NPI assigned
- Mar 13, 2007
- Last updated
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50001345 | OH | Primary |
Addresses
Primary practice location
6681 Ridge Rd
Suite 300
Parma, OH 44129-5713
Mailing address
6681 Ridge Road
Suite
Parma, OH 44129-5713
Phone (216) 398-0863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50001345 | Other | OH | LICENSE NUMBER |
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1336272889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6681 RIDGE ROAD",
"address_2": "SUITE",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "216-398-0863",
"fax_number": "216-351-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6681 RIDGE RD",
"address_2": "SUITE 300",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "440-842-1295",
"fax_number": "216-351-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKLODOWSKI",
"first_name": "KAREN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50001345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "50001345",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.