NPIMap

Individual provider Active NPI

Mark Louis Skory, D.O.

  • Family Medicine Physician
  • Auburn, MI
National Provider Identifier
1417038449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
312 E Midland Rd
Suite a
Auburn, MI 48611-9751
Phone
(989) 662-4425
Fax
(989) 662-3343
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MI Primary

Addresses

Primary practice location

312 E Midland Rd
Suite a
Auburn, MI 48611-9751

Mailing address

312 E Midland Rd
Suite a
Auburn, MI 48611-9751
Phone (989) 662-4425

Other identifiers 5

IdentifierTypeStateIssuer
4441792OtherMIMI CONF OF TEAMSTERS
41S55216OtherMIHEALTH PLUS OF MI
170718 E33180OtherMISELECTCARE
3246265MedicaidMI
0150900125OtherMIBLUE CARE NETWORK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630001034 MI Practitioner - Family Practice 5496791337 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, MI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 E Midland Rd
Suite a
Auburn, MI 48611-9751

312 E Midland Rd a
Auburn, MI 48611-9751
Phone (989) 662-4425

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
510100841MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery T. Archbold DO Family Medicine CurrentSince Sep 8, 2025 Accepting new patients

Locations

312 E Midland Rd
#A
Auburn, MI 48611
Phone (989) 662-8868

Interoperability endpoints

  • Direct secure messaging: drskory@ac-mi.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417038449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MIDLAND RD",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119751",
            "telephone_number": "989-662-4425",
            "fax_number": "989-662-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MIDLAND RD",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119751",
            "telephone_number": "989-662-4425",
            "fax_number": "989-662-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORY",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI CONF OF TEAMSTERS",
            "identifier": "4441792",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "41S55216",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "170718 E33180",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3246265",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0150900125",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MI

Sources for this page

Verify at the official NPI Registry.