Skysong Medical, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SKYSONG MEDICAL, LLC

Practice address

1375 N Scottsdale Rd Ste 180
Scottsdale, AZ 85257-3428

Phone

(480) 874-9800

Fax

(480) 874-9804

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Challen Waychoff III

Title

Coo/Manager

Phone

(480) 634-6400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1649780198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N SCOTTSDALE RD STE 180",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573428",
            "telephone_number": "480-874-9800",
            "fax_number": "480-874-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N SCOTTSDALE RD STE 180",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573428",
            "telephone_number": "480-874-9800",
            "fax_number": "480-874-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYSONG MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "CHALLEN",
        "authorized_official_title_or_position": "COO/MANAGER",
        "authorized_official_telephone_number": "480-634-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Marie Skrove, SLP
• Douglas Skvarla
• Sky Blue Sky Corp (Fyzical South Scottsdale)
• Sky Drug Inc
• Skyreach Behavioral Health LLC
• Michelle Slabach, CCC-SLP
• Haley Slack, AUD
• Jennifer Austin Slack, APN
• Lawrence Edward Slama, M.D.
• Bonnie Slater, LPC

• Physical Medicine & Rehabilitation Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.