Individual provider Active NPI

Ziad Skaf

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1659815173
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6779A Issued in WY
Practice address
6015 Sycamore Rd
1St Floor
Cheyenne, WY 82009-4347
Phone
(307) 514-1300
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6779A WY Primary

Addresses

Primary practice location

6015 Sycamore Rd
1St Floor
Cheyenne, WY 82009-4347

Mailing address

428 S Durbin St Ste 104
Casper, WY 82601-2818
Phone (307) 337-4284

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

State licenses

LicenseStateTypeSpecialty
6779AWYMDFamily Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1659815173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S DURBIN ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012818",
            "telephone_number": "307-337-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 SYCAMORE RD",
            "address_2": "1ST FLOOR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094347",
            "telephone_number": "307-514-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAF",
        "first_name": "ZIAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.