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NPI Code Detail

MEDICARE: GREGORY L SKUTA M.D.

MEDICARE: GREGORY L SKUTA M.D.
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
1207W00000XOphthalmology Physician18168OK
2207WX0009XGlaucoma Specialist (Ophthalmology) Physician18168OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437128865
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY L SKUTA M.D.
Provider Business Mailing Address
First Line : 608 STANTON L YOUNG BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5014
Country : US
Telephone Number : 405-271-1093
Fax Number : 405-271-3013
Provider Business Practice Location Address
First Line : 608 STANTON L YOUNG BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5014
Country : US
Telephone Number : 405-271-1093
Fax Number : 405-271-3013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 02/24/2026

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