David Lee Skalka Jr. (NPI# 1851692735, PAC ID# 0941204333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851692735 |
| PAC ID by PECOS | 0941204333 |
| Professional Enrollment ID | I20121119000300 |
| Full Name | David Lee Skalka Jr. |
| Organization Legal Name | SUCCESSOR HEALTHCARE LLC |
| Address |
451 E Bishop Federal Ln Salt Lake City UT 84115-2357 |
| Phone Number | 8014877557 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375724826 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 8014877557 | SUCCESSOR HEALTHCARE LLC |
| 82 S 1100, Suite 403, Salt Lake City, UT 84102-1892 | 8015055299 | PHYSICIAN GROUP OF UTAH INC |
| 3580 W 9000, West Jordan, UT 84088-8812 | 8015618888 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | SUCCESSOR HEALTHCARE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan C Galbraith | Nurse Practitioner | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Willy Mack Taylor | Physician Assistant | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Sonja J Bates | Nurse Practitioner | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Street Address |
451 E BISHOP FEDERAL LN |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84115-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan C Galbraith | Nurse Practitioner | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Willy Mack Taylor | Physician Assistant | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Andrew Brice Heinecke | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | |
| Cynthia A Newby | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | |
| Sonja J Bates | Nurse Practitioner | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill B Jones | Clinical Social Worker | 404 E 1700, Salt Lake City, UT 84115-1732 | |
| Mark M Mckell | Optometry | Salt Lake City Eye Care, LLC | 1818 S 300, Salt Lake City, UT 84115-1805 |
| Ryan Toone Barlow | Optometry | Salt Lake City Eye Care, LLC | 1818 S 300, Salt Lake City, UT 84115-1805 |
| Nathan R Green | Optometry | Nathan Green Od PC | 241 W 2100, South Salt Lake, UT 84115-1830 |
| Melanie Squire | Clinical Social Worker | 140 W 2100, Suite 244, Salt Lake City, UT 84115-1980 | |
| Esther Ewell | Clinical Social Worker | Military and Veteran Counseling Center LLC | 140 W 2100, Suite 244, Salt Lake City, UT 84115-1980 |
| Taylor R Krick | Chiropractic | 1860 S 300 W B, Salt Lake City, UT 84115-2198 | |
| Robert L Mazzola | Sleep Medicine | Ihc Health Services Inc | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Marlin W Dahl | Chiropractic | 2330 S Main St, Suite 16, Salt Lake City, UT 84115-2766 | |
| Callie Marie Rippon | Clinical Social Worker | Valley Mental Health Incorporated | 2472 S 300, Salt Lake City, UT 84115-2895 |
| Find all physicians in zip 84115 | |||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALT LAKE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on David Lee Skalka Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.