Individual provider Active NPI

Slobodan B Jugo, PSC

  • Otolaryngology Physician
  • Greenville, KY
National Provider Identifier
1609978899
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
21212 Issued in KY
Practice address
300 Medical Plaza
Greenville, KY 42345
Phone
(270) 338-6650
Fax
(270) 338-6653
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 21212 KY Primary

Addresses

Primary practice location

300 Medical Plaza
Greenville, KY 42345

Mailing address

300 Medical Plaza
Greenville, KY 42345
Phone (270) 338-6650

Other identifiers 1

IdentifierTypeStateIssuer
64212129MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000651 KY Practitioner - Otolaryngology 5092610592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Medical PLZ
Greenville, KY 42345-1220
Phone (270) 338-6650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal or shaving of skin growth78
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21212KYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Slobodan B Jugo PSC Otolaryngology CurrentSince Jan 1, 1982 Accepting new patients

Locations

300 Medical Plz
Greenville, KY 42345
Phone (270) 338-6650

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1609978899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLAZA",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "42345",
            "telephone_number": "270-338-6650",
            "fax_number": "270-338-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLAZA",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "42345",
            "telephone_number": "270-338-6650",
            "fax_number": "270-338-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUGO",
        "first_name": "SLOBODAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "21212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64212129",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, KY

Sources for this page

Verify at the official NPI Registry.