DOUGLAS E. PUGMIRE DO PLLC (NPI# 1548458904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548458904 |
| Entity Type | Organization |
| Organization Name | DOUGLAS E. PUGMIRE DO PLLC |
| Other Organization Name | GYNECOLOGIC ONCOLOGY SPECIALIST OF MI |
| Practice Address |
1515 Lake Lansing Rd Suite O Lansing MI 48912-3753 |
| Practice Telephone | 5173729967 |
| Practice Fax Number | 5173720669 |
| Mailing Telephone | 5173729967 |
| Mailing Fax Number | 5173720669 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. DOUGLAS E PUGMIRE (OWNER) |
| Authorized Official Telephone | 5173729967 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
5101013693 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 114258903 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 5330168 | 01 |
| MI | BLUE CARE NETWORK | 5330168 | 01 |
| MI | PHP OF MID MICHIGAN | 200000002555 | 01 |
| Other Name | Type Code |
|---|---|
| Gynecologic Oncology Specialist of MI | Doing Business As Name - Organization |
| Street Address |
1515 LAKE LANSING RD SUITE O |
| City | LANSING |
| State | MI |
| Zip Code | 48912-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208358 | Marcus Rhem | Ophthalmology | 1515 Lake Lansing Rd, Suite H, Lansing, MI 48912-3753 | 2005-10-11 |
| 1538564075 | Mark L. Davis, Do PC | Orthopaedic Surgery | 1515 Lake Lansing Rd, Suite B1, Lansing, MI 48912-3753 | 2014-10-27 |
| 1578993036 | Leah Dreja | Physician Assistant | 1515 Lake Lansing Rd, Suite A, Lansing, MI 48912-3753 | 2013-11-20 |
| 1669809554 | Compass Healthcare, Plc | Physician Assistant | 1515 Lake Lansing Rd, Lansing, MI 48912-3753 | 2013-10-09 |
| 1699027086 | Dr. Steven L Drayer, Pllc | Orthopaedic Surgery | 1515 Lake Lansing Rd, Ste B-1, Lansing, MI 48912-3753 | 2012-10-09 |
| 1164792875 | Holly E Barone | Physician Assistant | 1515 Lake Lansing Rd, Suite O, Lansing, MI 48912-3753 | 2012-01-11 |
| 1366689622 | Horizon Pharmacy LLC | Pharmacy | 1515 Lake Lansing Rd, Suite B2, Lansing, MI 48912-3753 | 2009-01-08 |
| 1477710135 | Elctrodiagnostic Medicine Consultants, Pllc | Psychiatry & Neurology | 1515 Lake Lansing Rd, Suite F-1, Lansing, MI 48912-3753 | 2008-05-20 |
| 1992975064 | Gary L Cesar Dpm PC | Podiatrist | 1515 Lake Lansing Rd, Lansing, MI 48912-3752 | 2008-03-05 |
| 1265600902 | Mclaren Greater Lansing | Obstetrics & Gynecology | 1515 Lake Lansing Rd, Suite O, Lansing, MI 48912 | 2008-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265600902 | Mclaren Greater Lansing | Obstetrics & Gynecology | 1515 Lake Lansing Rd, Suite O, Lansing, MI 48912 | 2008-02-15 |
| 1174562649 | Edward W. Sparrow Hospital Association | Obstetrics & Gynecology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831611870 | Vinay K Malviya Md PC | Obstetrics & Gynecology | 26850 Providence Pkwy Ste 530, Novi, MI 48374-1268 | 2017-07-12 |
| 1396985206 | Christopher E. Hummel | Obstetrics & Gynecology | 145 Michigan St Ne Ste 6300, Grand Rapids, MI 49503-2562 | 2009-03-05 |
| 1346415494 | Morgan L Taylor | Obstetrics & Gynecology | 3909 Woodward Ave, Apartment 208, Detroit, MI 48201 | 2008-04-29 |
| 1699868752 | J Rebecca Liu | Obstetrics & Gynecology | 5301 E Huron River Dr Ste 208, Ypsilanti, MI 48197-1051 | 2006-10-02 |
| 1578524021 | Jayson Field | Obstetrics & Gynecology | 3577 W 13 Mile Rd Ste 302, Royal Oak, MI 48073-6710 | 2006-03-31 |
| 1831180140 | David P Michelin | Obstetrics & Gynecology | 217 S Madison Street, Traverse City, MI 49684-2320 | 2005-11-04 |
| 1891782736 | James Ewell Graham Jr. | Obstetrics & Gynecology | 302 Kensington Ave, Genesys Hurley Cancer Institute, Flint, MI 48503-2044 | 2005-10-05 |
| 1184623514 | Vinay Kumar Malviya | Obstetrics & Gynecology | 29877 Telegraph Rd Ste 304, Southfield, MI 48034-7660 | 2005-07-19 |
| 1235134461 | Michiana Hematology Oncology of Michigan, P.C. | Obstetrics & Gynecology | 4 Longmeadow Drive, Suite One, Niles, MI 49120 | 2005-06-15 |
| 1043660467 | Ella E M Brown Charitable Circle | Obstetrics & Gynecology | 200 N Madison St, Marshall, MI 49068-1143 | 2016-06-16 |
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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.