Provider Demographics
NPI:1972504165
Name:SKONER, DAVID PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PETER
Last Name:SKONER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:AGH KIDS ALLERGY & ASTHMA
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-3751
Mailing Address - Fax:412-359-8439
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:AGH KIDS ALLERGY & ASTHMA
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-6640
Practice Address - Fax:412-359-6641
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029155E2080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010125990005Medicaid
WV0112871000Medicaid
OH677629Medicaid
PA168893RC7Medicare PIN
WV0112871000Medicaid