Individual provider Active NPI

Heather Leigh Skufca

  • Sonography Radiologic Technologist
  • Canfield, OH
National Provider Identifier
1609062983
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
100590
Practice address
200 Talsman Dr Unit B
Canfield, OH 44406-1263
Phone
(330) 518-7014
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 100590 Primary

Addresses

Primary practice location

200 Talsman Dr Unit B
Canfield, OH 44406-1263

Mailing address

200 Talsman Dr Unit B
Canfield, OH 44406-1263
Phone (330) 518-7014

Other identifiers 1

IdentifierTypeStateIssuer
100590OtherARDMS

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1609062983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TALSMAN DR UNIT B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061263",
            "telephone_number": "330-518-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TALSMAN DR UNIT B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061263",
            "telephone_number": "330-518-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUFCA",
        "first_name": "HEATHER",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "100590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARDMS",
            "identifier": "100590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.