Joseph J Skandalaris, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

JS012061 Issued in MI

Practice address

820 Byron Rd
Ste 200
Howell, MI 48843-1024

Phone

(517) 548-1246

Fax

(517) 548-9164

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1477557056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BYRON RD",
            "address_2": "STE 200",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431024",
            "telephone_number": "517-548-1246",
            "fax_number": "517-548-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BYRON RD",
            "address_2": "STE 200",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431024",
            "telephone_number": "517-548-1246",
            "fax_number": "517-548-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKANDALARIS",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JS012061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114639202",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Simet
• Julie Simpson, DPT
• Alexander Siple
• Sandra Lynn Sitek, CRNA
• Sjmhs Anesthesia Services
• Larry Slagell, LMSW
• James Mark Slater, M.A.,LLP
• Anna Marie Sloan, LLMSW
• Samantha Sluss
• Haley Smallwood, MD

• Internal Medicine Physician in Howell, MI
• Providers in Howell, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.