Active NPI
Holly Elizabeth Skala, PA-C
- Physician Assistant
- Erie, PA
National Provider Identifier
1790780245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA002032L
- Practice address
- 2500 W 12TH St
Erie, PA 16505-4508 - Phone
- (814) 838-9000
- Fax
- (814) 838-0462
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA000239L | PA | |
| Physician Assistant | 363A00000X | MA002032L | PA | Primary |
Addresses
Primary practice location
2500 W 12TH St
Erie, PA 16505-4508
Mailing address
2500 W 12TH St
Erie, PA 16505-4508
Phone (814) 838-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970023783 | Other | PA | RAILROAD MEDICARE IND# |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002032L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1790780245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W 12TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054508",
"telephone_number": "814-838-9000",
"fax_number": "814-838-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W 12TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054508",
"telephone_number": "814-838-9000",
"fax_number": "814-838-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKALA",
"first_name": "HOLLY",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA000239L",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002032L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE IND#",
"identifier": "970023783",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.