Organization Active NPI

W Matthew Skewes MD PC

  • Internal Medicine Physician
  • Dublin, VA
National Provider Identifier
1427244821
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101041733 Issued in VA
Legal business name
W MATTHEW SKEWES MD PC
Practice address
112 Broad St
Dublin, VA 24084
Phone
(540) 674-0770
Fax
(540) 674-2872
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
W Matthew Skewes, MD
Title
Owner
Phone
(540) 674-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101041733 VA Primary

Addresses

Primary practice location

112 Broad St
Dublin, VA 24084

Mailing address

112 Broad St
Dublin, VA 24084
Phone (540) 674-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110330000000 VA Part B Supplier - Clinic/Group Practice 7012190028 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, VA

National Provider Directory

National Provider Directory

Locations

112 Broad St
Dublin, VA 24084
Phone (540) 674-0770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1427244821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BROAD ST",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "24084",
            "telephone_number": "540-674-0770",
            "fax_number": "540-674-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BROAD ST",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "24084",
            "telephone_number": "540-674-0770",
            "fax_number": "540-674-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W MATTHEW SKEWES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "SKEWES",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-674-0770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101041733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.