Active NPI
Joseph D Sego, PA
- Physician Assistant
- Elizabethtown, KY
National Provider Identifier
1477859635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1627
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100100480 | Medicaid | KY |
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
| Organization | Specialty | Status | New 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.
-
- Non-Pharmacy Dispensing Site
- Elizabethtown, KY
- NPI 1124445226
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.