AUSTIN PAUL SKELTON (NPI# 1164837134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164837134 |
Entity Type | Individual |
Full Name | AUSTIN PAUL SKELTON |
Credential | FNP |
Practice Address |
87983 Territorial Rd Veneta OR 97487-8775 |
Practice Telephone | 5419352200 |
Practice Fax Number | 5419356241 |
Mailing Telephone | 5419352200 |
Mailing Fax Number | 5419356241 |
Enumeration Date | 2014-06-27 |
Last Update Date | 2017-03-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA2000X |
Registered Nurse Specialization: Administrator |
R041133 | SD | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201608332NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
87983 TERRITORIAL RD |
City | VENETA |
State | OR |
Zip Code | 97487-8775 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518990621 | Icco, LLC | Family Medicine | 87983 Territorial Rd, Veneta, OR 97487 | 2006-07-09 |
1750800702 | Michelle Ames | Massage Therapist | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2017-09-11 |
1952701518 | Matthew A Shaw | Family Medicine | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2014-09-01 |
1124460217 | Lauren Rae Bell | Physician Assistant | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2013-07-18 |
1841583721 | Francis G Kovac | Nurse Practitioner | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2011-05-25 |
1346577186 | Karrie Ann Patterson | Physician Assistant | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2009-11-16 |
1437166352 | Charles Anthony Roberts Jr. | Physician Assistant | 87983 Territorial Rd, Veneta, OR 97487 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
1932440492 | Elizabeth Jane Hoffmann | Veterinarian | 88233 Territorial Hwy, Veneta, OR 97487 | 2013-03-08 |
1730429986 | Ryan P Frome | Veterinarian | 88233 Territorial Rd, Veneta, OR 97487 | 2013-02-26 |
1225254402 | Tracy R Robinson | Dentist | 25078 Hunter Rd., Veneta, OR 97487 | 2007-04-17 |
1770650707 | Christa Hitt | Counselor | 87576 Trek Drive, Veneta, OR 97487 | 2006-11-28 |
1871665745 | Donald C. Stair | Dentist | 25078 Hunter Ave, Veneta, OR 97487 | 2006-11-15 |
1861427627 | Shane Alan Gofourth | Chiropractor | 88124 Territorial Rd., Veneta, OR 97487 | 2006-07-11 |
1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
1437713252 | Veneta Family Dental | Dentist | 25078 Hunter Rd, Veneta, OR 97487 | 2019-04-26 |
1083159503 | Icco, LLC | Clinic/Center | 25045 Dunham Avenue, Veneta, OR 97487 | 2016-12-20 |
Find all providers in zip 97487 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245583269 | Margaret Martha Franklin | Nurse Practitioner | 87983 Territorial Hwy, Veneta, OR 97487-8775 | 2012-10-16 |
1841583721 | Francis G Kovac | Nurse Practitioner | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2011-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
Find all providers with the same taxonomy |
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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.