Provider Demographics
NPI:1730310822
Name:RICHARD H SKUROW MD, INC.
Entity Type:Organization
Organization Name:RICHARD H SKUROW MD, INC.
Other - Org Name:TRI-COUNTY ENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:SKUROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-825-5454
Mailing Address - Street 1:752 WAYCROSS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3184
Mailing Address - Country:US
Mailing Address - Phone:513-825-5454
Mailing Address - Fax:513-825-5452
Practice Address - Street 1:752 WAYCROSS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3184
Practice Address - Country:US
Practice Address - Phone:513-825-5454
Practice Address - Fax:513-825-5452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH040000207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0426480Medicaid
OH0426480Medicaid
OH0473993Medicare PIN