Organization Active NPI

Stan V Skrepnek Mdpa

  • Family Medicine Physician
  • Palestine, TX
National Provider Identifier
1710130158
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STAN V SKREPNEK MDPA
Practice address
126 Medical Dr
Ste B
Palestine, TX 75801-8506
Phone
(903) 723-2547
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Stan V Skrepnek, M.D.
Title
President
Phone
(903) 723-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

126 Medical Dr
Ste B
Palestine, TX 75801-8506

Mailing address

126 Medical Dr
Ste B
Palestine, TX 75801-8506
Phone (903) 723-2547

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1710130158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MEDICAL DR",
            "address_2": "STE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018506",
            "telephone_number": "903-723-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MEDICAL DR",
            "address_2": "STE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018506",
            "telephone_number": "903-723-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAN V SKREPNEK MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "SKREPNEK",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-723-2547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.