TIMOTHY C SKALITZKY (NPI# 1063054013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063054013 |
Entity Type | Individual |
Full Name | TIMOTHY C SKALITZKY |
Practice Address |
3801 Spring St Mount Pleasant WI 53405-1667 |
Mailing Address |
1219 18th Ave Kenosha WI 53140-1241 |
Practice Telephone | 2626874011 |
Mailing Telephone | 9204207119 |
Enumeration Date | 2019-10-10 |
Last Update Date | 2019-10-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9435 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3801 SPRING ST |
City | MOUNT PLEASANT |
State | WI |
Zip Code | 53405-1667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285242214 | Samantha Ashley Murray | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-07-15 |
1225658842 | Stephanie Kuntz | Student in an Organized Health Care Education/Training Program | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-04-23 |
1659990067 | Erica Riley | Student in an Organized Health Care Education/Training Program | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-04-15 |
1972136281 | Heather Marie Steppe | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-02-14 |
1083247530 | Joshua Delarosa | Physician Assistant | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-02-12 |
1720618218 | Angela Heim | Registered Nurse | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-01-23 |
1588211320 | Caitlin N Carlson | Physician Assistant | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-08-26 |
1366903361 | Robert Marsh | Nurse Anesthetist, Certified Registered | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-03-31 |
1750840880 | Jamie Frost | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-03-18 |
1902365588 | Victoria Leigh Lehmann | Student in an Organized Health Care Education/Training Program | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
Find all providers in zip 53405 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
1982239786 | Haylee Amber Eliasson | Nurse Practitioner | 7003 Braun Rd, Mount Pleasant, WI 53403-9743 | 2020-03-12 |
1366077737 | Abby Wells Hunter | Nurse Practitioner | 1621 E Broomfield St Ste C, Mount Pleasant, MI 48858-5427 | 2020-03-06 |
1598304115 | Shannon Delite Leake | Nurse Practitioner | 727 County Road 1612, Mount Pleasant, TX 75455-7535 | 2019-12-30 |
1033762646 | Megan Ann Seibel | Nurse Practitioner | 6396 Route 819 S, Mount Pleasant, PA 15666-3670 | 2019-07-23 |
1902363963 | Rosalia Treto | Nurse Practitioner | 2015 Mulberry Ave Ste 310, Mount Pleasant, TX 75455-2316 | 2019-02-26 |
1508352451 | Tyler Moeller | Nurse Practitioner | 107 E Madison St Ste 101, Mount Pleasant, IA 52641-2071 | 2018-07-03 |
1790227296 | Jeanette Parker | Nurse Practitioner | 816 High Battery Cir, Mount Pleasant, SC 29464-7879 | 2016-11-15 |
1346611670 | Sarah M Slaasted | Nurse Practitioner | 5439 Durand Ave Ste 103, Mount Pleasant, WI 53406-5068 | 2015-10-13 |
1669711065 | Carolyn Hazel Larisey-atkinson | Nurse Practitioner | 1978 Sandy Point Ln, Mount Pleasant, SC 29466 | 2013-02-05 |
Find all providers in MOUNT PLEASANT |
City | MOUNT PLEASANT |
Zip Code | 53405 |
Please comment or provide details below to improve the information on TIMOTHY C SKALITZKY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.