Active NPI
Gregory C Skaggs, M.D.
- Sports Medicine (Family Medicine) Physician
- Eugene, OR
National Provider Identifier
1962470948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD19982
- Practice address
- 2727 Leo Harris Pkwy
Eugene, OR 97401-8835 - Phone
- (541) 346-2257
- Fax
- (855) 850-1265
- NPI assigned
- Mar 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD19982 | OR | Primary |
Addresses
Primary practice location
2727 Leo Harris Pkwy
Eugene, OR 97401-8835
Mailing address
2727 Leo Harris Pkwy
Eugene, OR 97401-8835
Phone (541) 346-2257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080908 | Medicaid | OR |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19982 | OR | MD | Sports Medicine (Family Medicine) Physician |
| 19982 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Oregon | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Eugene, OR
- NPI 1760435234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1962470948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 LEO HARRIS PKWY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018835",
"telephone_number": "541-346-2257",
"fax_number": "855-850-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 LEO HARRIS PKWY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018835",
"telephone_number": "541-346-2257",
"fax_number": "855-850-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAGGS",
"first_name": "GREGORY",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OR",
"license": "MD19982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080908",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.