Individual provider Active NPI

David G. Skowronek, MD

  • Legal Medicine
  • Randleman, NC
National Provider Identifier
1477577328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
AS8189234 Issued in NC
Practice address
608 W Academy St
Randleman, NC 27317-9748
Phone
(336) 495-1001
Fax
(336) 495-1005
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X AS8189234 NC Primary

Addresses

Primary practice location

608 W Academy St
Randleman, NC 27317-9748

Mailing address

550 White Oak St
Asheboro, NC 27203-4710
Phone (336) 625-1360

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

LicenseStateTypeSpecialty
AS8189234NCMDLegal Medicine
19401NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nesin Therapy Services, P.C. PastSince Jul 12, 2006 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477577328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034710",
            "telephone_number": "336-625-1360",
            "fax_number": "336-625-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W ACADEMY ST",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179748",
            "telephone_number": "336-495-1001",
            "fax_number": "336-495-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWRONEK",
        "first_name": "DAVID",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "AS8189234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randleman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.