NPI Registry.org

Jacob D Skoruppa

NPI Registration Record

Provider / OrganizationNPIDate Certified
JACOB D SKORUPPA12151130222023-03-12

Jacob D Skoruppa is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215113022. Registration indicates Jacob D Skoruppa is a provider of services with a specialization in Technologists, Technicians & Other Technical Service Providers, Specialist/Technologist, Other (All Other Specialties & Provider Types, ) (Specialist/Technologist, Other Surgical Technologist, Technologists, Technicians & Other Technical Service Providers) (Specialist/Technologist, Other, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )

Entity TypeIndividual
Provider NameMr. Jacob D Skoruppa LSA
Practice Office Address5929 BRIGHTWOOD DR
CORPUS CHRISTI, TX US
Practice Office Telephone3618766689
Practice Office Fax3613360217
Mailing Address5929 BRIGHTWOOD DR
CORPUS CHRISTI, TX 784143029 US
Business Telephone3618766689
Business Fax3613360217
Contact Endpoints
NPPES NPI REGISTRY []https://npiregistry.cms.hhs.gov/registry/provider-view/1215113022Direct Cutting edge surgical
NPPES NPI REGISTRY []https://npiregistry.cms.hhs.gov/registry/provider-view/1316361553Direct
HPT Codes
CodePractice
License No
State
246ZS0410X
Technologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
All Other Specialties & Provider Types

Specialist/Technologist, Other Surgical Technologist
Technologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
SA00374
TX
363AS0400X PRIMARY
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant: Surgical

All Other Specialties & Provider Types

Physician Assistant Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
SA00374
TX
OPI Codes
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