Organization Active NPI

Gregory G. Skaggs MD

  • Specialist
  • Leitchfield, KY
National Provider Identifier
1487757134
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24093 Issued in KY
Legal business name
GREGORY G. SKAGGS MD
Practice address
912 Wallace Ave
Suite 105
Leitchfield, KY 42754-2404
Phone
(270) 230-0251
Fax
(270) 230-0712
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Ms. Tami L Hart
Title
Mt
Phone
(270) 230-0251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 24093 KY Primary

Addresses

Primary practice location

912 Wallace Ave
Suite 105
Leitchfield, KY 42754-2404

Mailing address

912 Wallace Ave
Suite 105
Leitchfield, KY 42754-2404
Phone (270) 230-0251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1487757134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 WALLACE AVE",
            "address_2": "SUITE 105",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542404",
            "telephone_number": "270-230-0251",
            "fax_number": "270-230-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WALLACE AVE",
            "address_2": "SUITE 105",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542404",
            "telephone_number": "270-230-0251",
            "fax_number": "270-230-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY G. SKAGGS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MT",
        "authorized_official_telephone_number": "270-230-0251",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "24093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.