JUDITH M SKONER MD NPI 1316935489

NPI Information

NPI: 1316935489
Provider Name: JUDITH M SKONER, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Organization: UNIVERSITY MEDICAL ASSOCIATES

PECOS Registration: Yes

Address:
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414
Get Directions

Judith M Skoner, MD is a facial plastic surgery otolaryngology in Charleston, SC with 28 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Judith M Skoner, MD NPI is 1316935489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-001
Phone: (843) 792-1414

The NPI 1316935489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 6/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0007X	Otolaryngology	Plastic Surgery within the Head & Neck	21802	SOUTH CAROLINA	No
2	207Y00000X	Otolaryngology		MD423272	PENNSYLVANIA	No
3	207Y00000X	Otolaryngology		21802	SOUTH CAROLINA	No
4	207YS0123X	Otolaryngology	Facial Plastic Surgery	21802	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	218026	MEDICAID	SOUTH CAROLINA
2	1008484860001	MEDICAID	PENNSYLVANIA
3	H64489	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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