Individual provider Active NPI

Myra L Skluth, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1881640332
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
029609 Issued in CT
Practice address
750 Washington Blvd
5TH Floor
Stamford, CT 06901-3722
Phone
(203) 348-7500
Fax
(203) 964-9029
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 029609 CT Primary

Addresses

Primary practice location

750 Washington Blvd
5TH Floor
Stamford, CT 06901-3722

Mailing address

750 Washington Blvd
5TH Floor
Stamford, CT 06901-3722
Phone (203) 348-7500

Other practice location 1

34 Maple St
Norwalk Hospital/Dept of Medicine
Norwalk, CT 06850-3815
Phone (203) 852-3072

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
029609CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1881640332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON BLVD",
            "address_2": "5TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013722",
            "telephone_number": "203-348-7500",
            "fax_number": "203-964-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON BLVD",
            "address_2": "5TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013722",
            "telephone_number": "203-348-7500",
            "fax_number": "203-964-9029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Maple St",
            "address_2": "Norwalk Hospital/Dept of Medicine",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503815",
            "country_code": "US",
            "telephone_number": "203-852-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKLUTH",
        "first_name": "MYRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "029609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.