JOHN PUGH (NPI# 1053515932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053515932 |
| Entity Type | Individual |
| Full Name | JOHN PUGH |
| Credential | M.D., PHD |
| Practice Address |
391 Myrtle Avenue Albany NY 12208-3478 |
| Practice Telephone | 5182623478 |
| Practice Fax Number | 5182629985 |
| Mailing Telephone | 5182621700 |
| Mailing Fax Number | 5182629985 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
264898 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801965983 | John E Pugh | Psychologist | 491 Peach Rd, Ephrata, PA 17522 | 2006-11-06 |
| 1609259498 | John Jeffrey Pugh | Pharmacist | 702 Military Rd, Benton, AR 72015-3311 | 2015-06-30 |
| 1346571551 | John R Pugh | Physical Therapist | 504 Albemarle Sq, Charlottesville, VA 22901-7405 | 2010-01-28 |
| 1669610630 | John Scott Pugh | Case Manager/Care Coordinator | 474 W 200 N, Saint George, UT 84770-4505 | 2009-01-29 |
| 1265613376 | John Walter Pugh | Pharmacist | 101 N Main St, Prosperity, SC 29127-0146 | 2007-11-16 |
| 1316939499 | John Barr Pugh | Obstetrics & Gynecology | 2001 Peachtree Rd Ne, Suite 435, Atlanta, GA 30309-1476 | 2005-08-16 |
| Street Address |
391 MYRTLE AVENUE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427078054 | Sean Patrick Roche | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-07-19 |
| 1134773401 | Vascular Surgery Clinic of Amch | Clinic/Center | 391 Myrtle Avenue, 5th Floor, Albany, NY 12208 | 2019-07-25 |
| 1679956643 | Frances Athena Rosario | Nurse Practitioner | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2015-07-08 |
| 1689958019 | Community Care Physicians, PC | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2011-10-04 |
| 1487889994 | David Lawrence Colman | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2009-05-28 |
| 1962665737 | Carlos Lucien Elguero | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2008-07-02 |
| 1689797607 | Elena Rosenbaum | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2007-04-06 |
| 1922182856 | Mary Johnston | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-25 |
| 1659460038 | Catherine Clark | Nurse Practitioner | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-12 |
| 1790874170 | Neil Mitnick | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457679706 | Vijay Vishwanath | Psychiatry & Neurology | 391 Myrtle Ave Ste 1a, Albany, NY 12208-3797 | 2010-05-11 |
| 1265640205 | Karen Margaret Powers | Psychiatry & Neurology | 47 New Scotland Ave, Albany, NY 12208-3412 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
| 1164940490 | Kashyar Khodabakhsh M.d.p.c. | Psychiatry & Neurology | 260 Middle Neck Rd Apt 1e, Great Neck, NY 11021-1159 | 2017-09-07 |
| 1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
| 1457770620 | Rolla Nuoman | Psychiatry & Neurology | 755 N Broadway Ste 540, Sleepy Hollow, NY 10591 | 2014-04-15 |
| 1689093445 | Evelyn Olga Berman | Psychiatry & Neurology | 200 East River Rd, Rochester, NY 14623 | 2014-04-09 |
| 1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
| 1861767931 | Pascal Saremsky | Psychiatry & Neurology | 2965 Long Beach Rd Ste 200, Oceanside, NY 11572-3255 | 2012-03-21 |
| 1316246978 | Leslie Diane Delfiner | Psychiatry & Neurology | 3415 Bainbridge Ave Fl 4, Bronx, NY 10467-2403 | 2011-03-22 |
| 1104132778 | Prokhorov's Pediatrics and Child Neurology PC | Psychiatry & Neurology | 9817 Queens Blvd, Ll2, Rego Park, NY 11374-3336 | 2010-08-20 |
| 1316269707 | Elissa Yozawitz | Psychiatry & Neurology | 1410 Pelham Pkwy S Rm 316, Rose F. Kennedy Center, Bronx, NY 10461-1116 | 2010-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.