JACLYN R PUGA (NPI# 1114383759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114383759 |
| Entity Type | Individual |
| Full Name | JACLYN R PUGA |
| Practice Address |
1450 Sachem Pl Suite 201 Charlottesville VA 22901-2554 |
| Mailing Address |
1225 Swan Lake Dr Apt 201 Charlottesville VA 22902-8224 |
| Practice Telephone | 4349739744 |
| Mailing Telephone | 5707867311 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-0005180 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972001923 | Jaclyn Puga | Case Manager/Care Coordinator | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2018-01-24 |
| Street Address |
1450 SACHEM PL SUITE 201 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598995 | Raymond Paul Marotta | Family Medicine | 1450 Sachem Pl, Unit 201, Charlottesville, VA 22901-2554 | 2005-06-15 |
| 1437757093 | Katherine Peterson | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2020-10-15 |
| 1588143051 | Stephanie Modena Gillan | Family Medicine | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2018-08-07 |
| 1457809436 | Karen Kubinec | Nurse Practitioner | 1450 Sachem Pl, Suite 201, Charlottesville, VA 22901-2554 | 2016-09-19 |
| 1669830295 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2016-02-10 |
| 1508275751 | Felicia Maria Aliano | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2014-08-12 |
| 1992900484 | Gail Lee Kongable | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2007-06-15 |
| 1609095462 | Suzanne S Matriccino | Optometrist | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2007-04-24 |
| 1396842399 | Peter Joseph Schmidt | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2006-09-20 |
| 1437263837 | Elizabeth Rector Adams | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1912562406 | Danielle Shell | Physician Assistant | 1254 Clover Ridge Pl, Charlottesville, VA 22901-9213 | 2019-05-09 |
| 1265953699 | Gina J Carroll | Physician Assistant | 2625 Cedar Ridge Ln, Charlottesville, VA 22901-9414 | 2017-07-06 |
| 1134585961 | Natalie Smith | Physician Assistant | 183 Spotnap Rd Ste C, Charlottesville, VA 22911-8812 | 2016-01-08 |
| 1093185167 | Emily Harriet Gilbert | Physician Assistant | 100 1st St N Apt 202, Charlottesville, VA 22902-5251 | 2015-10-01 |
| 1679815930 | Lindsay R Caine-conley | Physician Assistant | 103 S Pantops Dr Ste 102, Charlottesville, VA 22911-8617 | 2013-03-25 |
| 1376829184 | Traci L. Mahoney | Physician Assistant | 545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 | 2011-10-25 |
| 1699951152 | Michelle Louise Post | Physician Assistant | 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-7851 | 2008-01-15 |
| 1932223674 | Alden R. Kent | Physician Assistant | 1st Lee St, Charlottesville, VA 22908-0001 | 2007-03-19 |
| 1124142229 | Jennifer A. Hart | Physician Assistant | 1000 Massie Rd, Charlottesville, VA 22903 | 2007-03-16 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on JACLYN R PUGA.
| 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.