MR. JACOB D SKORUPPA LSA NPI 1215113022

NPI Information

NPI: 1215113022
Provider Name: MR. JACOB D SKORUPPA, LSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
5929 BRIGHTWOOD DR
CORPUS CHRISTI, TX
ZIP 78414
Phone: (361) 876-6689
Get Directions

MR. Jacob D Skoruppa, LSA is a surgical physician assistant in Corpus Christi, TX. MR. Jacob D Skoruppa, LSA NPI is 1215113022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5929 BRIGHTWOOD DR
CORPUS CHRISTI, TX
ZIP 78414-029
Phone: (361) 876-6689
Fax: (361) 336-0217

The enumeration date for this NPI number is 1/11/2008 and was last updated on 3/12/2023.

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	246ZS0410X	Specialist/Technologist, Other	Surgical Technologist	SA00374	TEXAS	No
2	363AS0400X	Physician Assistant	Surgical	SA00374	TEXAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »