Organization Active NPI

Gregory Skie MD PA

  • Pain Medicine Physician
  • Mansfield, TX
National Provider Identifier
1740280403
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
G5617 Issued in TX
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

Updated by the provider on Nov 28, 2007

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1673295MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.