DR. CRAIG KEVIN SKALLA (NPI# 1265570691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265570691 |
Entity Type | Individual |
Full Name | DR. CRAIG KEVIN SKALLA |
Credential | DPM |
Practice Address |
1326 Eisenhower Dr Savannah GA 31406-3928 |
Mailing Address |
Po Box 15849 Savannah GA 31416-2549 |
Practice Telephone | 9126914100 |
Practice Fax Number | 9126914289 |
Mailing Telephone | 9123033552 |
Mailing Fax Number | 9123033506 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2013-01-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 694 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000591093B | 05 |
Street Address |
1326 EISENHOWER DR |
City | SAVANNAH |
State | GA |
Zip Code | 31406-3928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295738086 | Pamela Boland | Radiology | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2005-05-24 |
1578016895 | Ashley Mcbride | Nurse Practitioner | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-08-03 |
1245694496 | Sj Sc Cardiology LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-13 |
1346604873 | Sjc Electrophysiology, LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-11 |
1629449285 | Dawn A Mace | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2015-10-08 |
1821466392 | Courtney Morton | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2015-09-14 |
1750776720 | Susan G. Brown | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2015-04-06 |
1346678802 | Vi Nguyen | Dietitian, Registered | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2013-10-21 |
1326476110 | Rachel Mcgalliard | Pharmacist | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2013-10-15 |
1053756379 | Idris Pasha Ali | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2013-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
Find all providers in zip 31406 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831212315 | John Milton Murrell | Podiatrist | 908 Abercorn St, Savannah, GA 31401-5912 | 2007-04-09 |
1750466769 | Ronald G Miller | Podiatrist | 308 Winchester Dr, Savannah, GA 31410-4409 | 2006-10-26 |
1033120639 | Todd Christopher Newsom | Podiatrist | 803 E 68th St, Savannah, GA 31405-4709 | 2006-08-10 |
1356376743 | Lillian Machelle Loretz | Podiatrist | 6709 Waters Ave, Savannah, GA 31406-2717 | 2006-07-12 |
1164405551 | Angeline D. Dy | Podiatrist | 9104 Middleground Rd, Suite 2, Savannah, GA 31406-4320 | 2005-11-21 |
1770577173 | Paul Myron Horovitz | Podiatrist | 325 Stephenson Ave, Savannah, GA 31405-5931 | 2005-08-31 |
1407306640 | Atlantic Foot and Ankle Specialists | Podiatrist | 803 E 68th St, Savannah, GA 31405-4709 | 2016-10-12 |
1144777657 | Atlantic Foot and Ankle Specialists | Podiatrist | 11706 Mercy Blvd, Bld 8, Savannah, GA 31419-1751 | 2016-09-01 |
1861541344 | Antioch Medical Associates | Podiatrist | 9104 Middleground Rd, Ste 2, Savannah, GA 31406-4302 | 2007-01-10 |
1669413977 | Steven James Pangborn | Podiatrist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2006-06-09 |
Find all providers in SAVANNAH |
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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.