Active NPI
Ralph D Skowron, M.D.
- Emergency Medicine Physician
- Friendship, WI
National Provider Identifier
1437214780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 32915
- Practice address
- 402 West Lake St.
Moundview Memorial Hospital
Friendship, WI 53934 - Phone
- (608) 339-8357
- Fax
- (608) 339-8359
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 32915 | WI | Primary |
Addresses
Primary practice location
402 West Lake St.
Moundview Memorial Hospital
Friendship, WI 53934
Mailing address
N2331 Greenville Dr
Hortonville, WI 54944-8714
Phone (920) 779-9840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31788900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1437214780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2331 GREENVILLE DR",
"city": "HORTONVILLE",
"state": "WI",
"postal_code": "549448714",
"telephone_number": "920-779-9840",
"fax_number": "920-779-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 WEST LAKE ST.",
"address_2": "MOUNDVIEW MEMORIAL HOSPITAL",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "53934",
"telephone_number": "608-339-8357",
"fax_number": "608-339-8359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOWRON",
"first_name": "RALPH",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "32915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31788900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Friendship, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.