Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053316711 Individual Practitioner Male Practitioner

Dr. Kenneth H. Skipper , MD

General Practice • Gladewater, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Skipper, MD is a registered healthcare professional specializing in General Practice in Gladewater, TX. Practice services are available at 1600 BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Broadway Ave

Gladewater, TX 756475040

Telephone 9033155630
Fax 9038456212
Associated Practice Facility / Clinic
🏢 Gs Physician Services Facility NPI 1356399406

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Gladewater, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Gladewater, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX F5047

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License TX F5047

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
123416301 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Tracy Casey , FNP

Nurse Practitioner - Family

NPI 1093172785

Family Nurse Practitioner

Debra Mahoney , FNP

Nurse Practitioner - Family

NPI 1265619241

Family Nurse Practitioner

NPI 1275538019

Doctor of Medicine (M.D.)

Samantha Spiro Landry , FNP-C

Nurse Practitioner - Primary Care

NPI 1447935234

Family Nurse Practitioner (Certified)

Dr. Lynn Jennings , MD

Family Medicine

NPI 1528075124

Doctor of Medicine (M.D.)

Sheila Brinkman , APRN, FNP-C

Nurse Practitioner - Family

NPI 1891337747

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2013

Registered at 1600 BROADWAY AVE, GLADEWATER, TX 756475040 (Tel: 9033155630)

📍
Updated Business Mailing Address September 23, 2013

Registered at PO BOX 4207, LONGVIEW, TX 756064207 (Tel: 9033155630)

👤
Provider Name / Credentials Updated September 23, 2013

Recorded as KENNETH SKIPPER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2013

Family Medicine (License #F5047 in TX)

🟢
Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053316711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: September 23, 2013
Sole Proprietor: No

Mailing Address

Po Box 4207

Longview, TX 756064207

Phone: 9033155630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.