DIANE L PUGH (NPI# 1073590667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073590667 |
| Entity Type | Individual |
| Full Name | DIANE L PUGH |
| Credential | DO |
| Practice Address |
1430 Sw Saint Lucie West Blvd Ste 101 Port St Lucie FL 34986-2134 |
| Practice Telephone | 7728773591 |
| Practice Fax Number | 5616230613 |
| Mailing Telephone | 7728773591 |
| Mailing Fax Number | 5616230613 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS0006117 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | OS0006117 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 80576 | 01 |
| FL | RR MEDICARE | P01744365 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528331865 | Diane Irish Pugh | Health Educator | 706 Queen Annes Ct, Hagerstown, MD 21740-9764 | 2012-02-16 |
| Street Address |
1430 SW SAINT LUCIE WEST BLVD STE 101 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899125 | Roberta S Hunter | Family Medicine | 1430 Sw Saint Lucie West Blvd, Ste 101, Port St Lucie, FL 34986-2134 | 2005-05-31 |
| 1851874317 | Gina Marie Levine | Nurse Practitioner | 1430 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-2134 | 2018-09-11 |
| 1215343462 | Haley Trombley | Chiropractor | 1430 Sw Saint Lucie West Blvd, Suite 103, Port St Lucie, FL 34986-2134 | 2014-07-09 |
| 1932442399 | Andres A Fuentes Lazzarini | Chiropractor | 1430 Sw Saint Lucie West Blvd, Suite 103, Port St Lucie, FL 34986-2134 | 2013-04-03 |
| 1053669788 | Michael T Kelly Dc Pa | Chiropractor | 1430 Sw Saint Lucie West Blvd, Suite 103, Port St Lucie, FL 34986-2134 | 2012-08-28 |
| 1417205147 | Hands On Performance LLC | Clinic/Center | 1430 Sw Saint Lucie West Blvd, Suite 103, Port St Lucie, FL 34986-2134 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1144736471 | Regenerative Medical Group Florida | Family Medicine | 1400 Se Goldtree Dr Ste 105, Port St Lucie, FL 34952-7582 | 2017-12-22 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1184006892 | Optimus Care Physician Services Pllc | Family Medicine | 5475 Nw Saint James Dr # 148, Port St Lucie, FL 34983-3444 | 2015-06-18 |
| 1235453168 | Florida Medical Center | Family Medicine | 10616 S Federal Hwy, Port St Lucie, FL 34952-6401 | 2010-03-22 |
| 1184873077 | Roberta S Hunter Md Pa | Family Medicine | 1860 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2008-09-16 |
| 1760651285 | Imran Mushtaq Malik | Family Medicine | 8515 S Us Highway 1, Suite 3, Port St Lucie, FL 34952-3346 | 2008-02-28 |
| 1518018142 | Steven William Cohen | Family Medicine | 672 Sw Prima Vista Blvd Ste 102, Port St Lucie, FL 34983-1820 | 2007-01-12 |
| 1508913534 | Cristian Joseph Presutti | Family Medicine | 1701 Se Hillmoor Dr Ste 7, Port St Lucie, FL 34952-7552 | 2007-01-04 |
| 1366542110 | Sheerin Patel | Family Medicine | 8483 S Us 1, Suite 19, Port St Lucie, FL 34952 | 2006-09-22 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.