Traci L Skierka, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

32705 Issued in IA

Practice address

513 N Cherry St
Shell Rock, IA 50670

Phone

(319) 885-6530

Fax

(319) 885-6535

NPI assigned

Apr 13, 2006

Last updated

Oct 3, 2007By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Shell Rock Family Health LLC

  • Family Medicine Physician
  • Shell Rock, IA
  • NPI 1477505915
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1417911967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "address_2": "513 N CHERRY ST",
            "city": "SHELL ROCK",
            "state": "IA",
            "postal_code": "50670",
            "telephone_number": "319-885-6530",
            "fax_number": "319-885-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N CHERRY ST",
            "city": "SHELL ROCK",
            "state": "IA",
            "postal_code": "50670",
            "telephone_number": "319-885-6530",
            "fax_number": "319-885-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIERKA",
        "first_name": "TRACI",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IA",
            "license": "32705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Lea Kyhl, ARNP
• William Frank Maxwell, D.C.
• Shell Rock Family Health LLC
• Shell Rock Healthcare Center Inc
• Roger Leland Skierka, MD
• Waverly Health Center (Shell Rock Clinic)

• Adult Medicine Physician in Shell Rock, IA
• Providers in Shell Rock, IA by specialty
• Adult Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.