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KONSTANTINOS G SKANDAMIS M.D. NPI 1366407447


NPI Information

NPI: 1366407447
Provider Name: KONSTANTINOS G SKANDAMIS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1930 BISHOP LN
STE 1600
LOUISVILLE, KY
ZIP 40218
Phone: (502) 272-5100
Get Directions

Konstantinos G Skandamis, M.D. is a family medicine in Louisville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Konstantinos G Skandamis, M.D. NPI is 1366407447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1930 BISHOP LN
STE 1600
LOUISVILLE, KY
ZIP 40218-921
Phone: (502) 272-5100
Fax: (502) 272-5116

The NPI 1366407447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 9/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine38006KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00293208OTHERKENTUCKYRAILROAD MEDICARE
2P00305292OTHERKENTUCKYRAILROAD MEDICARE
3200505860OTHERINDIANAANTHEM INDIANA MEDICAID- NORTON ICC
4A82039MEDICARE UPIN
5047513OTHERKENTUCKYSIHO
6200505860MEDICAIDINDIANA
7200505860OTHERKENTUCKYHEALTHY INDIANA PLAN- NORTON ICC
81361961MEDICARE PINKENTUCKY
9200505860OTHERKENTUCKYMD WISE- NORTON IMMEDIATE CARE CENTER
1013219442OTHERKENTUCKYCHA- NORTON ICC
11000000382368OTHERKENTUCKYANTHEM
12196290LLMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.