Mark Edward Skellenger, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E6620 Issued in TX

Practice address

445 Bay Area Blvd
Houston, TX 77058-2622

Phone

(281) 990-8346

Fax

(281) 990-9984

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1588779011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582622",
            "telephone_number": "281-990-8346",
            "fax_number": "281-990-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582622",
            "telephone_number": "281-990-8346",
            "fax_number": "281-990-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLENGER",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E6620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Renee Skeete
• Suzan Skef, M.D.
• Wasseem Skef, M.D.
• Chrystan Skefos, MD
• Nicholas H Skefos, DO
• Michael P Skelley, HIS
• Diane L Skelly, CRNA
• Elijah Skelton
• Felicia Skelton, M.D.
• James Mathison Skelton Jr., M.D.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.