Wade Thomas Skardoutos, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CP003200 Issued in MI

Practice address

3350 Scott Blvd Ste 6301
191 San Felipe Rd. Ste M1 Hollister, Ca 95023
Santa Clara, CA 95054

Phone

(408) 845-9245

Fax

(408) 845-9259

NPI assigned

Jan 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prosthetic Solutions Inc.

  • Prosthetic/Orthotic Supplier
  • Hollister, CA
  • NPI 1447402599

  Prosthetist

  NPD Authorized official
• Prosthetic Solutions, Inc.

  • Prosthetic/Orthotic Supplier
  • Santa Clara, CA
  • NPI 1598858284

  Prosthetist

  NPD Authorized official

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1346427069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SCOTT BLVD STE 6301",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543125",
            "telephone_number": "408-845-9245",
            "fax_number": "408-845-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SCOTT BLVD STE 6301",
            "address_2": "191 SAN FELIPE RD. STE M1 HOLLISTER, CA 95023",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95054",
            "telephone_number": "408-845-9245",
            "fax_number": "408-845-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARDOUTOS",
        "first_name": "WADE",
        "middle_name": "THOMAS",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MI",
            "license": "CP003200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila V. Siukola, MD
• Sivarupan Sivalingam, OD
• Nayan Sivamurthy, MD
• Deborah Ann Skalko, CRNA
• Melissa Skalski
• Martin Slyngstad
• Mark Smaili, PHARM.D.
• Susan C. Smarr, MD
• Smartflow Tech and Info Inc
• Janet Elizabeth Smick, P.T.

• Prosthetist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.