Organization Active NPI

Skytop Surgical LLC

  • Surgery Physician
  • Port Matilda, PA
National Provider Identifier
1962797050
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD026012E Issued in PA
Legal business name
SKYTOP SURGICAL LLC
Practice address
168 Skytop LN
Port Matilda, PA 16870-7104
Phone
(814) 574-2125
Fax
(866) 422-9899
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Dr. David R Arbutina, M.D.
Title
Surgeon, Solo Practice
Phone
(814) 574-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD026012E PA Primary

Addresses

Primary practice location

168 Skytop LN
Port Matilda, PA 16870-7104

Mailing address

221 Hospital Dr
Suite 2
Tyrone, PA 16686-1826
Phone (814) 574-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1962797050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL DR",
            "address_2": "SUITE 2",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861826",
            "telephone_number": "814-574-2125",
            "fax_number": "866-422-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 SKYTOP LN",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707104",
            "telephone_number": "814-574-2125",
            "fax_number": "866-422-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYTOP SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "ARBUTINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SURGEON, SOLO PRACTICE",
        "authorized_official_telephone_number": "814-574-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD026012E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.