MEDICARE: SKY MEDICAL ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS011936	PA
2	208100000X	Physical Medicine & Rehabilitation Physician	OS011936	PA

General Provider Information

NPI Number	:	1174696397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKY MEDICAL ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	5801 CHEW AVE
Second Line	:	FLOOR 1
City	:	PHILA
State	:	PA
Zip	:	19138-1727
Country	:	US
Telephone Number	:	215-844-3500
Fax Number	:	215-844-3556

Provider Business Practice Location Address
First Line	:	5801 CHEW AVE
Second Line	:	FLOOR 1
City	:	PHILA
State	:	PA
Zip	:	19138-1727
Country	:	US
Telephone Number	:	215-844-3500
Fax Number	:	215-844-3556

Authorized Official
Title or Position	:	ATTENDING PHYSICIAN
Name	:	DR. ONYEAMA O ANAKWE
Credential	:	D.O , PHD.
Telephone Number	:	215-844-3500

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	04/30/2013

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