NPIMap

Individual provider Active NPI

Christopher Cleveland Skaggs, M.D.

  • Internal Medicine Physician
  • South Charleston, WV
National Provider Identifier
1598739476
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19877 Issued in WV
Practice address
707 Chestnut St
South Charleston, WV 25309-2003
Phone
(304) 768-8500
Fax
(304) 768-8530
NPI assigned
Feb 15, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19877 WV Primary

Addresses

Primary practice location

707 Chestnut St
South Charleston, WV 25309-2003

Mailing address

707 Chestnut St
South Charleston, WV 25309-2003
Phone (304) 768-8500

Other identifiers 2

IdentifierTypeStateIssuer
110193628OtherWVRAILROAD MEDICARE
6000555000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000252 WV Practitioner - Internal Medicine 3173533288 Reassigns benefits to 1 organization
Practice locations: Hurricane, WV; Ivydale, WV

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Hill Primary Care Physicians PLLCGroup PAC ID 7810932951, 5 clinicians

Practice addresses (Care Compare)

707 Chestnut St
South Charleston, WV 25309-2003
Phone (304) 768-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19877WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Hill Primary Care Physicians PLLC Internal Medicine CurrentSince Jul 1, 1999 Accepting new patients
Glasgow Hills of Journey, LLC Past Accepting new patients
Clinic Leasing Co., LLC Past Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Glasgow Health and Rehabilitation Past Accepting new patients
Riverside Valley of Journey, LLC Past Accepting new patients
Riverside Health and Rehabilitation, LLC Past Accepting new patients

Locations

707 Chestnut St
South Charleston, WV 25309
Phone (304) 768-8500

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glasgow Hills of JourneyGlasgow, WV, CCN 515118 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2024
Sep 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1598739476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CHESTNUT ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092003",
            "telephone_number": "304-768-8500",
            "fax_number": "304-768-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CHESTNUT ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092003",
            "telephone_number": "304-768-8500",
            "fax_number": "304-768-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "CHRISTOPHER",
        "middle_name": "CLEVELAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110193628",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000555000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.