Joseph Chase Skaggs I, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

256 McQueary Ridge Rd
Russell Springs, KY 42642-8828

Phone

(270) 566-4630

NPI assigned

Aug 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1609504208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MCQUEARY RIDGE RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426428828",
            "telephone_number": "270-566-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MCQUEARY RIDGE RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426428828",
            "telephone_number": "270-566-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "JOSEPH",
        "middle_name": "CHASE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell County Hospital
• Russell County Radiology, PSC
• Russell Springs Pharmacy
• RX Drug Monitoring Laboratory, LLC
• Mercy Grace Shirk, LCPM
• Skc1010 LLC
• Johnny R Skeese III, RPH
• Emily Jo Sneed, PHARMD
• Carol Annette Southard, M.S. CCC/SLP
• Southern Kentucky Medical Associates, PSC

• All providers in Russell Springs, KY
• Surgical Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.