DR. KENNETH GREGORY PUGH


Address: 8901 Wisconsin Ave, Department of Medicine, Bethesda, MD 20889-0001
Phone: 3013198168

DR. KENNETH GREGORY PUGH (NPI# 1164583043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164583043
Entity Type Individual
Full Name DR. KENNETH GREGORY PUGH
Credential M.D.
Practice Address 8901 Wisconsin Ave
Department of Medicine
Bethesda
MD 20889-0001
Mailing Address 5920 Edson Ln
Rockville
MD 20852-2932
Practice Telephone 3013198168
Mailing Telephone 3019847391
Enumeration Date 2006-12-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
0101050097 VA Allopathic & Osteopathic Physicians

Other Providers KENNETH PUGH

NPI Name Taxonomy Address Enumeration
1477682805 Kenneth C. Pugh Audiologist 1966 Inwood Rd., Dallas, TX 75235 2007-03-02
1518065572 Kenneth Pugh Licensed Psychiatric Technician 2150 Stockton Blvd, Sacramento, CA 95817-1337 2006-09-20

Office Location

Street Address 8901 WISCONSIN AVE
DEPARTMENT OF MEDICINE
City BETHESDA
State MD
Zip Code 20889-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093710246 Rosemary Grace Carr-malone Psychiatry & Neurology 8901 Wisconsin Ave, Bethesda, MD 20889-5600 2005-06-15
1861017212 Luke White Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-06-11
1538782545 Alexander Pastino Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-26
1104449362 Justin James De Vera Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-22
1881217180 Reece Mckenzie Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-20
1073135695 Alex Kim Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-18
1619599354 Jacob Mickey Wyse Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-16
1770105413 Anna M Russell Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-16
1699397364 Jessica Nicole Clark Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-15
1558983296 Mason Cleary Ditthardt Fortuno Military Health Care Provider 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457987034 Michael Franco Student in an Organized Health Care Education/Training Program Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 2020-03-16
1245862135 Kay Tomashek Pediatrics National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 2020-02-07
1104470657 Adam Pink Dentist 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 2019-08-01
1659939155 Matthew Heller Student in an Organized Health Care Education/Training Program Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 2019-05-30
1891258034 Jane Ann Crotteau Student in an Organized Health Care Education/Training Program Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 2019-04-12
1417434341 Andrea Baeder Dentist 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 2018-07-24
1942741723 John Vance Orthotist Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 2017-03-14
1790225704 Sylvia Best Pharmacist 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 2017-02-24
1255783767 Ryan Kaye Student in an Organized Health Care Education/Training Program Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 2016-07-08
1366861221 Tara Elizabeth Brown Internal Medicine 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 2014-04-08
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134662877 Chowdhury Medical Associates, LLC. Internal Medicine 5721 Grosvenor Ln, Bethesda, MD 20814-1833 2016-11-29
1710325717 Scott Howard Snyder Internal Medicine 8901 Wisconsin Ave, Bldg 19, Floor 4, Division of Geriatric Medicine, Bethesda, MD 20889 2013-06-12
1194054171 Fried and Wilks, LLC Internal Medicine 6430 Rockledge Dr, Suite 470, Bethesda, MD 20817-1805 2009-12-21
1093805301 Susan J Miller Internal Medicine 8218 Wisconsin Ave, Suite Number 305, Bethesda, MD 20814-3107 2006-10-15
1881626059 Roy Fried Internal Medicine 7758 Wisconsin Ave, # 211, Bethesda, MD 20814-3530 2006-07-07
1417983008 Harjinder Kumar Internal Medicine Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-5600 2006-06-24
1477599843 Jeffrey Peter Indrisano Internal Medicine 6410 Rockledge Dr, Suite 401, Bethesda, MD 20817-1809 2006-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407409253 Health Practice Partners LLC Internal Medicine 8028 Ritchie Hwy Ste 210b, Pasadena, MD 21122-1059 2019-07-22
1437613163 Johns Hopkins University Internal Medicine 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 2019-01-28
1598252371 Wayne Medical Associate, Inc. Internal Medicine 7207 Hanover Pkwy Ste A, Greenbelt, MD 20770-2089 2018-04-17
1649775933 Old Fashion Medicine, Inc Internal Medicine 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 2018-03-28
1982102943 3s Health LLC Internal Medicine 10400 Connecticut Ave Ste 206, Kensington, MD 20895-3941 2018-01-24
1225572233 Pamela Denise Ponder Internal Medicine 2603 Portola Court, Odenton, MD 21113 2016-12-09
1912371832 Phillip W. Stone, Md, LLC Internal Medicine 16013 Fields End Ct, Woodbine, MD 21797-7542 2015-11-16
1598023194 Health First Medical Care LLC Internal Medicine 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 2012-05-02
1609141795 Mattan Schuchman Internal Medicine 5210 Eastern Ave, Alpha Center #127, Baltimore, MD 21224 2012-03-21
1013204171 Chantal Youssef Internal Medicine 13105 Bucks Ridge Ct, Ellicott City, MD 21042 2011-07-08
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Competitor

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City BETHESDA
Zip Code 20889

Improve Information

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Dataset Information

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.

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