Organization Active NPI

Sam Skaff ,MD,Inc

  • Pediatrics Physician
  • Charleston, WV
National Provider Identifier
1649471731
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18485 Issued in WV
Legal business name
SAM SKAFF ,MD,INC
Practice address
4501 Mac Corkle Avenue South East
Suite a
Charleston, WV 25304-3136
Phone
(304) 925-9225
Fax
(304) 925-5357
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Sam A Skaff, MD
Title
President
Phone
(304) 925-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 18485 WV Primary

Addresses

Primary practice location

4501 Mac Corkle Avenue South East
Suite a
Charleston, WV 25304-3136

Mailing address

PO Box 40085
Charleston, WV 25364-0085
Phone (304) 925-9225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1649471731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40085",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253640085",
            "telephone_number": "304-925-9225",
            "fax_number": "304-925-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAC CORKLE AVENUE SOUTH EAST",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253043136",
            "telephone_number": "304-925-9225",
            "fax_number": "304-925-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM SKAFF ,MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SKAFF",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-925-9225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "18485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.