Organization Active NPI

Stephanie Skow MD Inc

  • Psychiatry Physician
  • Lihue, HI
National Provider Identifier
1720311715
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14940 Issued in HI
Legal business name
STEPHANIE SKOW MD INC
Practice address
4334 Rice St
203 A
Lihue, HI 96766-1810
Phone
(808) 634-2376
Fax
(808) 245-6495
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Stephanie L Skow, MDNPI 1013938158
Title
Owner
Phone
(808) 352-2013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 14940 HI Primary

Addresses

Primary practice location

4334 Rice St
203 A
Lihue, HI 96766-1810

Mailing address

4334 Rice St
203 A
Lihue, HI 96766-1810
Phone (808) 634-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091007000742 HI Part B Supplier - Clinic/Group Practice 7517003361 Receives reassigned benefits from 1 practitioner
Practice locations: Lihue, HI

National Provider Directory

National Provider Directory

Locations

4334 Rice St
Ste 204
Lihue, HI 96766
Phone (808) 634-2376

4334 Rice St
Ste 203A
Lihue, HI 96766
Phone (808) 634-2376

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1720311715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 RICE ST",
            "address_2": "203 A",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661810",
            "telephone_number": "808-634-2376",
            "fax_number": "808-245-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 RICE ST",
            "address_2": "203 A",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661810",
            "telephone_number": "808-634-2376",
            "fax_number": "808-245-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE SKOW MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "SKOW",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-352-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "14940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.