Provider Demographics
NPI:1568459824
Name:SKIE, MARTIN C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:C
Last Name:SKIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3355 GLENDALE AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-3761
Mailing Address - Fax:419-383-6255
Practice Address - Street 1:3000 ARLINGTON AVE
Practice Address - Street 2:ORTHOPEDIC SURGERY
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2595
Practice Address - Country:US
Practice Address - Phone:419-383-3761
Practice Address - Fax:419-383-6255
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35063109207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0137784Medicaid
OH0137784Medicaid
F92662Medicare UPIN