Stanley W Sizemore, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29975 Issued in KY

Practice address

1306 Versailles Rd
Ste 120
Lexington, KY 40504-1796

Phone

(859) 259-2635

Fax

(859) 254-7874

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Isaiah House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Willisburg, KY
  • NPI 1396086559
  Medicare reassignment NPD
• Jellico Community Hospital Inc.

  dba Jellico Community Hospital

  • Rural Acute Care Hospital
  • Jellico, TN
  • NPI 1588679898
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1659393700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD",
            "address_2": "STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041796",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD",
            "address_2": "STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041796",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "STANLEY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64299753",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Hawthorne Sizemore, OTR/L
• Clay Allen Sizemore, DMD
• Don Sizemore, LCSW
• Lee Anne Sizemore, M.A. CCC SLP
• Lynda-Lindsey Paige Sizemore
• William Jess Sizemore, MD
• Brianna Skaff
• Skaggs Consulting, PLLC (Skaggs Consulting)
• April Skaggs, APRN
• Apryl Skaggs

• Family Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.