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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101050097 | VA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
8901 WISCONSIN AVE DEPARTMENT OF MEDICINE |
City | BETHESDA |
State | MD |
Zip Code | 20889-0001 |
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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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 Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
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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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.