MR. PHILLIP D PUGH (NPI# 1669489423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669489423 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP D PUGH |
| Credential | MA,MA,CERT. |
| Practice Address |
508 Fulton Street Durham NC 27705 |
| Mailing Address |
2901 Moorgate Ave Durham NC 27704-6037 |
| Practice Telephone | 9192860411 |
| Practice Fax Number | 9192866805 |
| Mailing Telephone | 9194716418 |
| Mailing Fax Number | 9194716418 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
508 FULTON STREET |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481016 | Martha L Larson | Nurse Practitioner | 508 Fulton Street, Durham, NC 27710-0001 | 2006-03-20 |
| 1346597564 | Jason Edward Bonner | Psychologist | 508 Fulton Street, Durham, NC 27705 | 2012-08-07 |
| 1396009932 | Rachel Brooke Waltz | Social Worker | 508 Fulton Street, Durham, NC 27705 | 2012-06-28 |
| 1215298328 | Melissa Diane Schneider | Social Worker | 508 Fulton Street, Durham Va Medical Center, Durham, NC 27705-9994 | 2012-06-05 |
| 1851662167 | Nancy Ho Shen | Nurse Practitioner | 508 Fulton Street, Durham, NC 27705 | 2012-01-18 |
| 1003190083 | Caroline Marie Griffin | Social Worker | 508 Fulton Street, Department of Veterans Affairs Medical Center, Durham, NC 27705 | 2011-10-07 |
| 1023335775 | Vijay Yerubandi | Nuclear Medicine | 508 Fulton Street, Durham, NC 27705-3875 | 2010-04-20 |
| 1548492267 | Tiffany Charon Mosby | Licensed Practical Nurse | 508 Fulton Street, Durham Va Medical Center, Durham, NC 27700 | 2009-08-13 |
| 1508002551 | Turquious Michelle Byrd | Social Worker | 508 Fulton Street, Durham Va Medical Center, Social Work Service (122), Durham, NC 27705 | 2008-12-22 |
| 1366613705 | Jillian Thompson | Music Therapist | 508 Fulton Street, (117c), Durham, NC 27705-3875 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265500557 | Maria Carmen Montalvo-collins | Specialist/Technologist | 24 Gwendolyn Cir, Durham, NC 27703-2903 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482579 | Emily Brooke Griggs | Specialist/Technologist | 137 Ramseur Rd, Maiden, NC 28650-8306 | 2020-09-16 |
| 1689736399 | Sunshine Station At Sardis | Specialist/Technologist | 4405 Sardis Church Rd, Monroe, NC 28110-7998 | 2006-12-16 |
| 1093738908 | Freda Bailey Shipman | Specialist/Technologist | 2250 Leestown Road, 11e4-ld, Lexington, NC 40502-2235 | 2006-07-25 |
| 1285657940 | David L Hedrick | Specialist/Technologist | 190 Kimel Park Drive, Va Clinic Vist - 170v, Winston Salem, NC 27103 | 2006-07-25 |
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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.