Davor Graham Sklizovic, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

20267 Issued in SC

Practice address

50 Union St
Suite 1100
Ellsworth, ME 04605-1534

Phone

(207) 664-5658

Fax

(207) 664-5758

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

47.43 of 100Reported as group

Quality

8.29

Promoting interoperability

100

Improvement activities

0

Cost

66.46

Merit-based Incentive Payment System (MIPS)

Final score

84.48 of 100Reported as group

Quality

71.71

Promoting interoperability

100

Improvement activities

40

Cost

69.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1740369222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "address_2": "SUITE 1100",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534",
            "telephone_number": "207-664-5658",
            "fax_number": "207-664-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "address_2": "SUITE 1100",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534",
            "telephone_number": "207-664-5658",
            "fax_number": "207-664-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLIZOVIC",
        "first_name": "DAVOR",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "20267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "040017245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Shine, PHD
• Jessica Silvestrone, MHRT-CSP
• Karlee Kay Simkowski, DC
• Barbara Sigrid Sinclair, PH.D.
• Elizabeth Sirois, LCSW
• Mica T. Slaven-Lamothe, LCSW, MHRT-CSP
• Shannon Lee Small, CADC
• Petr Smejkal, MD
• Smile Design Ellsworth, PC
• Brandon R Smith, DPT

• Otolaryngology Physician in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Otolaryngology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.