Provider Demographics
NPI:1952304529
Name:SKAPEK, STEPHEN X (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:X
Last Name:SKAPEK
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:DUMC BOX 102382
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-3401
Mailing Address - Fax:919-681-7950
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-684-3401
Practice Address - Fax:919-681-7950
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024-006572080P0207X
TN311992080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR136342001Medicaid
LA1558061Medicaid
AZ715419Medicaid
OH2612944Medicaid
VA6700179Medicaid
NJ0076112Medicaid
IA0527903Medicaid
TX060514901Medicaid
OK100049610AMedicaid
SCQ31199Medicaid
MO205030000Medicaid
AL009913010Medicaid
MI104699550Medicaid
ME422400000Medicaid
WY1141236 00Medicaid
NC7613394Medicaid
MS00120392Medicaid
TN3838358Medicaid
NC7613394Medicaid