Active NPI
Slobodan B Jugo PSC
- Otolaryngology Physician
- Greenville, KY
National Provider Identifier
1184814162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- SLOBODAN B JUGO PSC
- Practice address
- 300 Medical PLZ
Greenville, KY 42345-1220 - Phone
- (270) 338-6650
- Fax
- (270) 338-6653
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Slobodan B Jugo, M.D.
- Title
- Owner
- Phone
- (270) 338-6650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
300 Medical PLZ
Greenville, KY 42345-1220
Mailing address
300 Medical PLZ
Greenville, KY 42345-1220
Phone (270) 338-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64212129 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
300 Medical Plz
Greenville, KY 42345
Phone (270) 338-6650
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Greenville, KY
- NPI 1609978899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374105600000",
"number": "1184814162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL PLZ",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451220",
"telephone_number": "270-338-6650",
"fax_number": "270-338-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PLZ",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451220",
"telephone_number": "270-338-6650",
"fax_number": "270-338-6653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLOBODAN B JUGO PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2013-07-18",
"status": "A",
"authorized_official_last_name": "JUGO",
"authorized_official_first_name": "SLOBODAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-338-6650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64212129",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.