Active NPI
Nolan Sakow, MD
- General Practice Physician
- Jackson, KY
National Provider Identifier
1861594509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25501
- Practice address
- 540 Jett Dr
Jackson, KY 41339-9622 - Phone
- (606) 666-6000
- NPI assigned
- Sep 2, 2006
- Last updated
- Nov 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 25501 | KY | |
| General Practice Physician | 208D00000X | 25501 | KY | Primary |
Addresses
Primary practice location
540 Jett Dr
Jackson, KY 41339-9622
Mailing address
PO Box 4342
Horseshoe Bay, TX 78657-4342
Phone (830) 598-1745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64255011 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky River HBP LLC | Past | Accepting new patients | |
| Jackson Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kentucky River ER, Anesth, Radiology
- Emergency Medicine Physician
- Jackson, KY
- NPI 1679774996
-
- Diagnostic Radiology Physician
- Jackson, KY
- NPI 1174752356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1861594509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4342",
"city": "HORSESHOE BAY",
"state": "TX",
"postal_code": "786574342",
"telephone_number": "830-598-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 JETT DR",
"city": "JACKSON",
"state": "KY",
"postal_code": "413399622",
"telephone_number": "606-666-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKOW",
"first_name": "NOLAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "KY",
"license": "25501",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "25501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64255011",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.