Provider Demographics
NPI:1962487397
Name:SATKO, SCOTT GREGORY (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:GREGORY
Last Name:SATKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BROOKVIEW HILLS BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5661
Mailing Address - Country:US
Mailing Address - Phone:336-768-2425
Mailing Address - Fax:336-768-4915
Practice Address - Street 1:3333 BROOKVIEW HILLS BLVD STE 105
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5661
Practice Address - Country:US
Practice Address - Phone:336-768-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501403207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
390008187OtherRR MEDICARE
5416690OtherAETNA
NC891187FMedicaid
1187FOtherBCBS
VA5837049Medicaid
85976OtherMEDCOST
SCQ0140BMedicaid
27586OtherPARTNERS
WV1841422000Medicaid
1187FOtherBCBS
WV1841422000Medicaid