Dr Larry O Skelton MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8780 Issued in AL

Legal business name

DR LARRY O SKELTON MD PC

Practice address

16063 Hwy 69 South
Moundville, AL 35474

Phone

(205) 371-2267

NPI assigned

Feb 1, 2008

Last updated

Feb 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry O Skelton, MD

Title

Owner

Phone

20533712267

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Phillips Whitley, PHARMD

  • Pharmacotherapy Pharmacist
  • Moundville, AL
  • NPI 1760472674
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1649458605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "MOUNDVILLE",
            "state": "AL",
            "postal_code": "35474",
            "telephone_number": "205-371-2267",
            "fax_number": "205-371-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16063 HWY 69 SOUTH",
            "city": "MOUNDVILLE",
            "state": "AL",
            "postal_code": "35474",
            "telephone_number": "205-371-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LARRY O SKELTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "20533712267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1079822",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529916560",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenika Bell
• Ashley Renee Bishop
• Brenda M Brasfield-Johnson, RD
• Alma Cole
• Willie Daniels II
• Encore Rehabilitation, Inc. (Encore Rehab on Wildcat Way)
• Hale County Hospital (Moundville Medical Associates)
• Harkemac, LLC (Moundville Primary Care Associates)
• Rosaura Hernandez
• Savannah Hodge, PHARMD

• Family Medicine Physician in Moundville, AL
• Providers in Moundville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.