Provider Demographics
NPI:1174696397
Name:SKY MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:SKY MEDICAL ASSOCIATES, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ONYEAMA
Authorized Official - Middle Name:O
Authorized Official - Last Name:ANAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:DO , PHD
Authorized Official - Phone:215-844-3500
Mailing Address - Street 1:5801 CHEW AVE
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-1727
Mailing Address - Country:US
Mailing Address - Phone:215-844-3500
Mailing Address - Fax:215-844-3556
Practice Address - Street 1:5801 CHEW AVE
Practice Address - Street 2:FLOOR 1
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19138-1727
Practice Address - Country:US
Practice Address - Phone:215-844-3500
Practice Address - Fax:215-844-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011936207Q00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty