Timothy W Skala, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 1211 Issued in AK

Practice address

11940 Business Blvd
Suite #102
Eagle River, AK 99577-7742

Phone

(907) 694-2807

Fax

(907) 694-7110

NPI assigned

Dec 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• True North Medicine LLC

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1588702096
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770648776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 BUSINESS BLVD",
            "address_2": "SUITE #102",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777742",
            "telephone_number": "907-694-2807",
            "fax_number": "907-694-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 BUSINESS BLVD",
            "address_2": "SUITE #102",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777742",
            "telephone_number": "907-694-2807",
            "fax_number": "907-694-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALA",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "MD 1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Showalter
• Jeremiah Shawn Shultz
• Jaime L Simkins, LMT
• Cory Simpson
• Robert David Skala, DO
• Jennifer Susan Skavhaug, M.A., LPC
• Eli Lawrence Skelton, M.S. SLP-CFY
• Johnathan Skoog
• Anna Sluz, OTD
• Claire Smith

• Family Medicine Physician in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.