ALEXANDER SKAVYSH (NPI# 1598782088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598782088 |
| Entity Type | Individual |
| Full Name | ALEXANDER SKAVYSH |
| Credential | M.D. |
| Practice Address |
2200 John R Wooden Dr Suite 201 Martinsville IN 46151-1863 |
| Mailing Address |
100 E Miller Dr Apt 87 Bloomington IN 47401-6572 |
| Practice Telephone | 7653425415 |
| Practice Fax Number | 7653423415 |
| Mailing Telephone | 7653432253 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 042-0012180 | VT | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD2010-0754 | NM | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 01062091A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | GROUP MEDICAID | 200377200 | 01 |
| IN | 200823150 | 05 | |
| IN | GROUP NPI NUMBER | 1104827633 | 01 |
| Street Address |
2200 JOHN R WOODEN DR SUITE 201 |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104827633 | Morgan Physician Specialists, LLC | Obstetrics & Gynecology | 2200 John R Wooden Dr, Suite 201, Martinsville, IN 46151-1838 | 2005-08-09 |
| 1730521899 | Sharon Bathory | Pharmacist | 2200 John R Wooden Dr, Martinsville, IN 46151-1863 | 2013-07-17 |
| 1578849832 | Indianapolis Vamc | Clinic/Center | 2200 John R Wooden Dr, Martinsville, IN 46151-1863 | 2011-10-31 |
| 1548557630 | Amanda Marie Burns | Internal Medicine | 2200 John R Wooden Dr, Martinsville, IN 46151-1863 | 2011-07-08 |
| 1588844146 | John L Reynolds Md, PC | Orthopaedic Surgery | 2200 John R Wooden Dr, Suite 100, Martinsville, IN 46151-1863 | 2007-11-12 |
| 1548477664 | Indiana Heart Physicians, Inc. | Internal Medicine | 2200 John R Wooden Dr, Suite 100, Martinsville, IN 46151-1863 | 2007-05-17 |
| 1912029596 | Otolaryngology Associates LLC | Otolaryngology | 2200 John R Wooden Dr, Ste 205, Martinsville, IN 46151-1838 | 2007-04-04 |
| 1427004530 | Claire Scheele | Surgery | 2200 John R Wooden Dr, Martinsville, IN 46151-1863 | 2006-05-26 |
| 1346239571 | Jeffrey L Amodeo | Surgery | 2200 John R Wooden Dr, Martinsville, IN 46151-1863 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518371202 | Jeffrey Noll | Surgery | 1973 Washington Valley Rd Ste 2, Martinsville, NJ 08836-2053 | 2014-06-20 |
| 1205852803 | Kareem A Hamdy | Surgery | 110 Commonwealth Blvd W, Martinsville, VA 24112-1832 | 2006-07-15 |
| 1073501383 | Thomas K Berry | Surgery | 314 Fairy Street Ext, Ste B, Martinsville, VA 24112-1913 | 2005-10-11 |
| 1205379609 | David Graham M.d., LLC | Surgery | 319 Hospital Dr, Ste 208, Martinsville, VA 24112-1929 | 2016-12-02 |
| 1184942161 | Surgical Associates of Martinsville PC | Surgery | 319 Hospital Dr, Ste 208, Martinsville, VA 24112-1929 | 2010-05-14 |
| 1013149707 | Vinson Consolacion Ulep | Surgery | 319 Hospital Dr, Ste 210, Martinsville, VA 24112-1929 | 2009-08-14 |
| 1275729006 | Martinsville Surgical Associates PC | Surgery | 319 Hospital Dr, Suite 208, Martinsville, VA 24112-1929 | 2007-09-14 |
| 1427004530 | Claire Scheele | Surgery | 2200 John R Wooden Dr, Martinsville, IN 46151-1863 | 2006-05-26 |
| 1346239571 | Jeffrey L Amodeo | Surgery | 2200 John R Wooden Dr, Martinsville, IN 46151-1863 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
| 1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
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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.