Individual
WILLIAM M SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 891-8300
(502) 891-8338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044927
ANTHEM PIN
KY
01
—
000000693045
ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
000057080R
HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
05
—
100388550A
—
IN
05
—
100388550F
—
IN
01
—
1056155
PASSPORT PIN
KY
01
—
2433846000
PASSPORT ADVANTAGE PIN
KY
05
—
64257959
—
KY
01
—
P00893034
RAILROAD MEDICARE- CTS
KY
Enumeration date
07/07/2006
Last updated
11/15/2012
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