Individual provider Active NPI

Gerard John Skrocki, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sterling Heights, MI
National Provider Identifier
1851307573
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
GS000898 Issued in MI
Practice address
42370 Van Dyke
Suite 104
Sterling Heights, MI 48314
Phone
(586) 254-2211
Fax
(586) 254-2297
NPI assigned
Aug 1, 2006
Last updated
Jun 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X GS000898 MI Primary

Addresses

Primary practice location

42370 Van Dyke
Suite 104
Sterling Heights, MI 48314

Mailing address

42370 Van Dyke
Suite 104
Sterling Heights, MI 48314
Phone (586) 254-2211

Other identifiers 1

IdentifierTypeStateIssuer
2101773MedicaidMI

Other names 1

  • Gerard John Skrocki Professional name

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

State licenses

LicenseStateTypeSpecialty
GS000898MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric S Mendelsohn DPM PC PastSince Mar 20, 2017 Accepting new patients
Dr Gerard J Skrocki DPM Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1851307573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42370 VAN DYKE",
            "address_2": "SUITE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-254-2211",
            "fax_number": "586-254-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42370 VAN DYKE",
            "address_2": "SUITE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-254-2211",
            "fax_number": "586-254-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKROCKI",
        "first_name": "GERARD",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "GS000898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101773",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERARD",
            "last_name": "SKROCKI",
            "middle_name": "JOHN",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.