Active NPI
Christy Renee Skibicki, MD
- Family Medicine Physician
- Camp Hill, PA
National Provider Identifier
1467446336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD439381
- Practice address
- 3025 Market St
Camp Hill, PA 17011-4518 - Phone
- (717) 691-1212
- Fax
- (717) 691-5354
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD439381 | PA | Primary |
Addresses
Primary practice location
3025 Market St
Camp Hill, PA 17011-4518
Mailing address
3025 Market St
Camp Hill, PA 17011-4518
Phone (717) 691-1212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024980910 | Medicaid | PA | |
| P010257 | Other | PA | GATEWAY-WMG |
| 30088118 | Other | PA | AMERIHEALTH MERCY-WMG |
Other names 1
- Dr. Christy Renee Rudderow
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD439381 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Health Corporation | Family Medicine | Past | Accepting new patients |
| Eden Hill Express Care, LLC | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Dover, DE
- NPI 1407022510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1467446336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 MARKET ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114518",
"telephone_number": "717-691-1212",
"fax_number": "717-691-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 MARKET ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114518",
"telephone_number": "717-691-1212",
"fax_number": "717-691-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIBICKI",
"first_name": "CHRISTY",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD439381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024980910",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P010257",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "30088118",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "RUDDEROW",
"middle_name": "RENEE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.