Individual provider Active NPI

David Michael Skrobot, DPM

  • Podiatrist
  • Thornville, OH
National Provider Identifier
1629066998
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002748 Issued in OH
Practice address
5042 Bateson Beach Dr NE
Thornville, OH 43076-9663
Phone
(740) 705-7517
Fax
(740) 242-4146
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002748 OH Primary

Addresses

Primary practice location

5042 Bateson Beach Dr NE
Thornville, OH 43076-9663

Mailing address

5042 Bateson Beach Dr NE
Thornville, OH 43076-9663
Phone (740) 704-7517

Other identifiers 1

IdentifierTypeStateIssuer
0880748MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000659 OH Practitioner - Podiatry 1658393996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians

Practice addresses (Care Compare)

1126 Adair Ave
Zanesville, OH 43701-2804
Phone (740) 962-3761

716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000

859 N Main St
Malta, OH 43758-9007
Phone (740) 962-6111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002748OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Associates of Southeastern Ohio, Inc. Podiatrist CurrentSince Jan 1, 1993 Accepting new patients
Muskingum Valley Health Centers CurrentSince Jan 1, 2008 Accepting new patients
Muskingum Valley Health Centers Current Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Genesis Medical Group LLC PastSince Jan 1, 2013 Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

4279 N State Route 376 NW
McConnelsvle, OH 43756
Phone (740) 651-5188

860 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-1905

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

1856 Adams Ln
Zanesville, OH 43701
Phone (216) 772-3192

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1629066998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 BATESON BEACH DR NE",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769663",
            "telephone_number": "740-704-7517",
            "fax_number": "740-242-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 BATESON BEACH DR NE",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769663",
            "telephone_number": "740-705-7517",
            "fax_number": "740-242-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKROBOT",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

Verify at the official NPI Registry.