Roger William Skebelsky, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

085001305 Issued in IL

Practice address

100 E Valencia Mesa Drive
310
Fullerton, CA 92835

Phone

(714) 446-5200

NPI assigned

Oct 12, 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 names 1

• Mr. Roger William Skebelsky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Emergency Medicine Physicians of Clark Umc McCourt PLLC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1427359447
  NPD (past)
• Omaha Emergency Physicians PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Omaha, NE
  • NPI 1023002771
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1861581563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 SYDNEY COURT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867551",
            "telephone_number": "402-403-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DRIVE",
            "address_2": "310",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-446-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEBELSKY",
        "first_name": "ROGER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085001305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGER",
            "last_name": "SKEBELSKY",
            "middle_name": "WILLIAM",
            "prefix": "MR.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence Siordia, D.C.
• David J. Sire, M.D.
• Maria Victoria C. Sison-Rosario, DDS
• Katherine R Sisson
• Chandrakanthi Y Sivalingam, M.D.
• Madonna Michelle Weber Skinas
• Quint Skipton, P.A.-C
• Jane Skuben-Vadkerti, D.D.S.
• Alice Skuben, D.D.S.
• Tamra Lyn Slanker, PT, DPT, CSCS

• Surgical Physician Assistant in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.