Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME RUSCEAK SKELLY, M.D.
ActiveDR. JEROME RUSCEAK SKELLY, M.D. is a Gastroenterology healthcare provider located in SOUTH BEND, Indiana. NPI 1396729893 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · SOUTH BEND, IN
Registration Details
- NPI Number
- 1396729893
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2005 (20.737995403806 yrs)
- Last Updated
- Dec 18, 2024
- Licenses
-
01049640A (IN)01049640A (IN)
Practice Information
- Address
-
1815 E IRELAND RDSOUTH BEND, IN, 466142845Browse IN providers · Browse ZIP 46614
- Phone
- 5746471700
- Fax
- 5746471993
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.