Individual provider Active NPI

Moira Skuratowicz, NP

  • Nurse Practitioner
  • Grove City, OH
National Provider Identifier
1376976910
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
OH 15003 Issued in OH
Practice address
3636 Broadway
Grove City, OH 43123-2202
Phone
(614) 871-3234
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X OH 15003 OH Primary

Addresses

Primary practice location

3636 Broadway
Grove City, OH 43123-2202

Mailing address

3636 Broadway
Grove City, OH 43123-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008001024 OH Practitioner - Nurse Practitioner 8123252095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
OH 15003OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc CurrentSince Apr 14, 2014 Accepting new patients
Mount Carmel Healthproviders Inc CurrentSince Apr 14, 2014 Accepting new patients

Locations

6150 E Broad St
Rm WD210
Columbus, OH 43213

3636 Broadway
Grove City, OH 43123
Phone (614) 871-3234

6024 Hoover Rd
Ste G
Grove City, OH 43123
Phone (614) 324-9090

6024 Hoover Rd
Ste A
Grove City, OH 43123
Phone (614) 777-5700

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: mskuratowicz1147870@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1376976910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232202",
            "telephone_number": "614-871-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKURATOWICZ",
        "first_name": "MOIRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "OH 15003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.