Individual provider Active NPI

John T. Skowronski, M.D.

  • Emergency Medicine Physician
  • Little Rock, AR
National Provider Identifier
1598866105
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ARC6007 Issued in AR
Practice address
1619 Louisiana St
Little Rock, AR 72206-1429
Phone
(501) 371-0582
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ARC6007 AR Primary

Addresses

Primary practice location

1619 Louisiana St
Little Rock, AR 72206-1429

Mailing address

1619 Louisiana St
Little Rock, AR 72206-1429
Phone (501) 371-0582

Other identifiers 1

IdentifierTypeStateIssuer
103073001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20100322000530 AR Practitioner - Emergency Medicine 9638134547 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ARC6007ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Aug 3, 2022 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Sep 1, 1989 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ess Hospitalist LLC CurrentSince Aug 3, 2022 Accepting new patients
Nes Kentucky Inc Emergency Medicine CurrentSince Jun 25, 2023 Accepting new patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Jun 21, 2020 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Jefferson Hospital Association Inc CurrentSince Sep 1, 1989 Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

1515 W 42nd Ave
Pine Bluff, AR 71603
Phone (870) 523-6721

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

Organizations & group practices 9

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1598866105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 LOUISIANA ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061429",
            "telephone_number": "501-371-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 LOUISIANA ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061429",
            "telephone_number": "501-371-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWRONSKI",
        "first_name": "JOHN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "ARC6007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103073001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.