DR. GERARD A. SKAZIAK (NPI# 1265543524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265543524 |
Entity Type | Individual |
Full Name | DR. GERARD A. SKAZIAK |
Credential | DPM |
Practice Address |
1604 Blount Ave Guntersville AL 35976-1840 |
Mailing Address |
Po Box 404 Guntersville AL 35976-0404 |
Practice Telephone | 2565827486 |
Practice Fax Number | 2565829844 |
Mailing Telephone | 2565827486 |
Mailing Fax Number | 2565829844 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2009-11-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
171 | AL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | RAILROAD MEDICARE | 480024856 | 01 |
AL | 000078853 (5738) | 05 | |
NEW TAX ID # | 721400816 | 01 | |
AL | AL STATE LICENSE | 171 | 01 |
AL | UNITED HEALTH CARE | 2710035 | 01 |
GROUP NPI # | 1306045588 | 01 | |
DMERC # | 1253800001 | 01 | |
AL | CONTROLLED SUBSTANCE LICE | 00171 | 01 |
AL | LVFFC STATE LICENSE | 1205 | 01 |
AL | HEALTH PARTNERS | 38652 | 01 |
AL | DEA | BS4209878 | 01 |
OLD TAX ID # | 631189931 | 01 | |
AL | GUNTERSVILLE CITY LICENSE | 9861 | 01 |
NPI INDIVIDUAL # | 1265543524 | 01 |
Street Address |
1604 BLOUNT AVE |
City | GUNTERSVILLE |
State | AL |
Zip Code | 35976-1840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306045588 | Lakeview Family Foot Care L.L.C. | Podiatrist | 1604 Blount Ave, Guntersville, AL 35976-1840 | 2007-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699322818 | Sienna Berryman | Nurse Practitioner | Marshall County Health Department, 150 Judy Smith Drive, Guntersville, AL 35976 | 2019-08-22 |
1548821176 | Christopher Leo Harman | Nurse Practitioner | 1084 Heritage Dr, Guntersville, AL 35976 | 2019-06-25 |
1134685324 | Jennifer Lynn Sanders | Nurse Practitioner | Marshall Medical Center North, 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2019-02-13 |
1841761814 | Emily Defourneaux | Nurse Practitioner | 8000 Al-69, Guntersville, AL 35976 | 2018-12-16 |
1447746433 | Christina Turner Godfrey | Nurse Practitioner | 7938 Al-69, Suite 130, Guntersville, AL 35976 | 2018-07-02 |
1871014969 | Katherine Greer Kennedy | Optometrist | 390 Gunter Ave, Guntersville, AL 35976 | 2017-06-29 |
1225577349 | Katie Giles | Nurse Practitioner | 55 Rowe Dr Ste A, Guntersville, AL 35976 | 2017-02-22 |
1700217551 | Jubal Matthews | Chiropractor | 12844 Suite B U.s Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
1326479171 | Jubilee Family Chiropractic LLC | Chiropractor | 12844 Suite B. U.S. Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
1407286776 | Lashae Watkins | Physician Assistant | 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2013-11-22 |
Find all providers in zip 35976 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851454243 | Ernest E Seckel | Podiatrist | 12221 Us Highway 431, Guntersville, AL 35976-9356 | 2006-12-18 |
1306045588 | Lakeview Family Foot Care L.L.C. | Podiatrist | 1604 Blount Ave, Guntersville, AL 35976-1840 | 2007-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962014159 | Upperline Healthcare, PC | Podiatrist | 2057 Valleydale Rd Ste 109, Hoover, AL 35244-2707 | 2020-08-19 |
1558825273 | Upperline Healthcare, PC | Podiatrist | 4109 Cogswell Ave, Pell City, AL 35125-2607 | 2019-01-27 |
1588128201 | Upperline Healthcare, PC | Podiatrist | 1976 Gadsden Hwy Ste 101, Birmingham, AL 35235-3267 | 2019-01-27 |
1912461633 | Upperline Healthcare, PC | Podiatrist | 5511 Highway 280 Ste 118, Birmingham, AL 35242-1505 | 2019-01-27 |
1932663655 | Upperline Healthcare, PC | Podiatrist | 6316 Piccadilly Square Dr Ste A, Mobile, AL 36609-5143 | 2019-01-27 |
1669755542 | Alex City Foot Specialties, LLC | Podiatrist | 1649 Highway 22 W Ste 1, Alexander City, AL 35010-4415 | 2011-09-27 |
1497984397 | Southern Podiatry Foot and Ankle, Pllc | Podiatrist | 1060 Grandeview Blvd, Suite 623, Huntsville, AL 35824-1497 | 2009-07-13 |
1710157953 | Footcare Solutions, PC | Podiatrist | 101 E Appletree St, Scottsboro, AL 35768-1835 | 2008-03-04 |
1932307378 | Desiree Jacqueline Mcgann | Podiatrist | 319 Parks Ave, Scottsboro, AL 35768-2411 | 2007-07-06 |
1770791758 | Bunion Busters | Podiatrist | 1401 Spring Hill Ave, Mobile, AL 36604-3204 | 2007-05-21 |
Find all providers with the same taxonomy |
City | GUNTERSVILLE |
Zip Code | 35976 |
Please comment or provide details below to improve the information on DR. GERARD A. SKAZIAK.
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.