MR. THOMAS EDWARD SKOUMAL (NPI# 1245587997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245587997 |
| Entity Type | Individual |
| Full Name | MR. THOMAS EDWARD SKOUMAL |
| Credential | DDS |
| Practice Address |
302 Randall Rd Suite 105 Geneva IL 60134-4209 |
| Practice Telephone | 6302327385 |
| Practice Fax Number | 6302327389 |
| Mailing Telephone | 6302327385 |
| Mailing Fax Number | 6302327389 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
08978 | IA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019029192 | IL | Dental Providers |
| Street Address |
302 RANDALL RD SUITE 105 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227570 | Steven J. Bielski | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2005-06-30 |
| 1518320191 | Christine Polz | Nurse Practitioner | 302 Randall Rd, Suite 202, Geneva, IL 60134-4209 | 2016-04-01 |
| 1578970042 | Thomas Skoumal Dds, PC | Clinic/Center | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2014-07-16 |
| 1770828287 | Susannah More | Clinical Neuropsychologist | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-12-10 |
| 1811253677 | Brittany Summer Panico | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-04-05 |
| 1568783991 | Elizabeth A Lowden | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4220 | 2010-06-21 |
| 1194043455 | Niveditha Christodoss | Counselor | 302 Randall Rd, Ll30, Geneva, IL 60134-4209 | 2010-05-12 |
| 1659697100 | Jay Liu | Internal Medicine | 302 Randall Rd, Geneva, IL 60134 | 2010-04-08 |
| 1871822445 | Janeta Dimante M.d.s.c. | Obstetrics & Gynecology | 302 Randall Rd, Suite 305, Geneva, IL 60134-4209 | 2009-12-10 |
| 1285861179 | David Giangreco | Internal Medicine | 302 Randall Rd, Suite 307b, Geneva, IL 60134-4209 | 2009-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649542135 | Debra A. Byers, Dmd, PC | Dentist | 789 Canandaigua Rd, Geneva, NY 14456-2001 | 2012-01-31 |
| 1942536891 | Douglas A, Kenny | Dentist | 260 S Broadway, Geneva, OH 44041-1807 | 2009-10-28 |
| 1821264581 | Family First Dental Associates of Nebraska, P.C. | Dentist | 1008 G St, Geneva, NE 68361-2007 | 2008-05-02 |
| 1306063367 | Stephan Roy Jakubowski | Dentist | 628 W State St, Geneva, IL 60134-2106 | 2007-04-19 |
| 1578687430 | Edgar David Prindle | Dentist | 774 Pre Emption Rd, Geneva, NY 14456-1336 | 2007-03-18 |
| 1639201478 | C. Donald Addona | Dentist | 4 White Springs Cir, Geneva, NY 14456-3008 | 2007-03-09 |
| 1255462800 | Dianne Ruth Triana | Dentist | 174 Washington St, Geneva, NY 14456-2841 | 2007-03-07 |
| 1356471783 | Elizabeth B Sacrey | Dentist | 328 Anderson Blvd, Geneva, IL 60134-1206 | 2007-03-06 |
| 1164551115 | Peter Gordon Grace | Dentist | 140 Washington Street, Geneva, NY 14456 | 2007-03-05 |
| 1407906399 | Frederick William Klee | Dentist | 4075 W Lake Rd, Geneva, NY 14456-9756 | 2007-01-11 |
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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.