Active NPI
Gregory Skie MD PA
- Pain Medicine Physician
- Mansfield, TX
National Provider Identifier
1740280403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- G5617
- Legal business name
- GREGORY SKIE MD PA
- Practice address
- 700 Hunters Row CT
Mansfield, TX 76063-4001 - Phone
- (817) 453-7771
- Fax
- (817) 453-6149
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Lynn Skie, M.D.
- Title
- Owner
- Phone
- (817) 453-7771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | G5617 | TX | Primary |
Addresses
Primary practice location
700 Hunters Row CT
Mansfield, TX 76063-4001
Mailing address
700 Hunters Row CT
Mansfield, TX 76063-4001
Phone (817) 453-7771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1673295 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
620 Matlock Centre Cir
Arlington, TX 76015
Phone (814) 460-1234
700 Hunters Row Ct
Mansfield, TX 76063
Phone (817) 225-0517
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Brookland, AR
- NPI 1144496233
-
- Clinical Social Worker
- Colorado Springs, CO
- NPI 1356492102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1740280403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HUNTERS ROW CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634001",
"telephone_number": "817-453-7771",
"fax_number": "817-453-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HUNTERS ROW CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634001",
"telephone_number": "817-453-7771",
"fax_number": "817-453-6149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY SKIE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "SKIE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-453-7771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "G5617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1673295",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.