Jerome Rusceak Skelly in South Bend - Internal Medicine
Jerome Rusceak Skelly - NPI 1396729893
Jerome Rusceak Skelly is a Internal Medicine in South Bend, Indiana. Jerome Rusceak Skelly practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerome Rusceak Skelly is 1396729893. The last update date is 2021-04-05.
Jerome Rusceak Skelly's current location address is 1815 E Ireland Rd, South Bend, Indiana. You can contact this provider via phone number 5746471700 and fax number 5746471993. The mailing address for Jerome Rusceak Skelly is 1815 E Ireland Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Rusceak Skelly |
|---|---|
| Address | 1815 E Ireland Rd, South Bend, Indiana |
| Phone Number | 5746471700 |
| Fax Number | 5746471993 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396729893 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
| Address | 1815 E Ireland Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466142845 |
| Phone Number | 5746471700 |
| Fax Number | 5746471993 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 01049640A |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200203460 | IN | -- |
Post Comment/ Review Below
What is the Jerome Rusceak Skelly's unique identification number?
The Jerome Rusceak Skelly has been assigned the NPI (National Provider Identifier) Number 1396729893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jerome Rusceak Skelly is physically located?
The Jerome Rusceak Skelly is situated at the following address: 1815 E Ireland Rd, South Bend, IN 466142845.
What is Jerome Rusceak Skelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerome Rusceak Skelly is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396729893 to Jerome Rusceak Skelly?
The Centers for Medicare & Medicaid Services assigned the 1396729893 to Jerome Rusceak Skelly on 2005-11-30.
As of what date was the information pertaining to Jerome Rusceak Skelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerome Rusceak Skelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-05.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY