NPIMap

Organization Active NPI

Paul H Skaggs MD PA

  • Diagnostic Radiology Physician
  • Vero Beach, FL
National Provider Identifier
1861436644
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PAUL H SKAGGS MD PA
Practice address
1485 37TH St
Suite 107
Vero Beach, FL 32960-6500
Phone
(772) 569-9745
Fax
(772) 567-6868
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Graham John Cain
Title
Practice Manager
Phone
(772) 299-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X FL Primary

Addresses

Primary practice location

1485 37TH St
Suite 107
Vero Beach, FL 32960-6500

Mailing address

1485 37TH St
Suite 107
Vero Beach, FL 32960-6500
Phone (772) 569-9745

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1861436644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 37TH ST",
            "address_2": "SUITE 107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606500",
            "telephone_number": "772-569-9745",
            "fax_number": "772-567-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 37TH ST",
            "address_2": "SUITE 107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606500",
            "telephone_number": "772-569-9745",
            "fax_number": "772-567-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H SKAGGS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "772-299-5121"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

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