Individual provider Active NPI

Joseph D Sego, PA

  • Physician Assistant
  • Elizabethtown, KY
National Provider Identifier
1477859635
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1627 Issued in KY
Practice address
2407 Ring Rd Ste 108
Elizabethtown, KY 42701-5938
Phone
(270) 735-1588
Fax
(270) 735-1589
NPI assigned
Feb 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1627 KY Primary

Addresses

Primary practice location

2407 Ring Rd Ste 108
Elizabethtown, KY 42701-5938

Mailing address

PO Box 2119
Elizabethtown, KY 42702-2119
Phone (270) 735-1588

Other identifiers 1

IdentifierTypeStateIssuer
7100100480MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin Professional Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1477859635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2119",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427022119",
            "telephone_number": "270-735-1588",
            "fax_number": "270-735-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 RING RD STE 108",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015938",
            "telephone_number": "270-735-1588",
            "fax_number": "270-735-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGO",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100100480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.