Individual provider Active NPI

Richard Howard Skurow, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Cincinnati, OH
National Provider Identifier
1346261997
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
35040000 Issued in OH
Practice address
752 Waycross Rd
Cincinnati, OH 45240-3184
Phone
(513) 825-5454
Fax
(513) 825-5452
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 35040000 OH Primary

Addresses

Primary practice location

752 Waycross Rd
Cincinnati, OH 45240-3184

Mailing address

752 Waycross Rd
Cincinnati, OH 45240-3184
Phone (513) 825-5454

Other identifiers 1

IdentifierTypeStateIssuer
0426480MedicaidOH

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35040000OHMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346261997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403184",
            "telephone_number": "513-825-5454",
            "fax_number": "513-825-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403184",
            "telephone_number": "513-825-5454",
            "fax_number": "513-825-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUROW",
        "first_name": "RICHARD",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "OH",
            "license": "35040000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.