MARY ANNETTE PUGH MD, PLLC (NPI# 1710365382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710365382 |
Entity Type | Organization |
Organization Name | MARY ANNETTE PUGH MD, PLLC |
Practice Address |
2500 Highway 65 S Clinton AR 72031-6588 |
Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
Practice Telephone | 5017549709 |
Practice Fax Number | 4792195500 |
Mailing Telephone | 8008244094 |
Mailing Fax Number | 4799681643 |
Enumeration Date | 2015-05-14 |
Last Update Date | 2020-09-21 |
Authorized Official Name | MARY PUGH (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 4798064290 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
2500 HIGHWAY 65 S |
City | CLINTON |
State | AR |
Zip Code | 72031-6588 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992760342 | Ozark Health, Inc | Home Health | 2500 Highway 65 S, Clinton, AR 72031-6588 | 2006-04-19 |
1235441403 | Monica Monique Hunt | Dietitian, Registered | 2500 Highway 65 S, Clinton, AR 72031-6588 | 2010-07-05 |
1306010905 | Melanie Paige Diorio | Nurse Anesthetist, Certified Registered | 2500 Highway 65 S, Clinton, AR 72031-6588 | 2008-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
Find all providers in zip 72031 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1245742808 | Field & Forest Medical, LLC | General Practice | 18565 S Bandy Ln, Clinton, IN 47842-7334 | 2017-11-03 |
1144692393 | Complete Wellness and Integrative Health Center Ltd | General Practice | 211 E Quincy St, Clinton, IL 61727 | 2015-10-28 |
1154561389 | Altmed Medical Center Inc | General Practice | 8700 Old Branch Ave, Clinton, MD 20735-2522 | 2009-02-27 |
1316149727 | Martin A Schiefer | General Practice | 100 Cedar Cove Turtle Creek, Clinton, MS 39056-5428 | 2007-06-05 |
1790733855 | Agapito Fajardo | General Practice | 906 N Us 421 Hwy, Clinton, NC 28328-0410 | 2006-05-04 |
1851363535 | Vincent S Toussaint | General Practice | 103 Mississippi Drive, Clinton, SC 29325 | 2006-02-06 |
1235118837 | Betty A Hibler | General Practice | 1320 Main Ave, Clinton, IA 52732-1923 | 2006-01-11 |
1457347379 | Roger E Jones | General Practice | 819 S 3rd St, Clinton, IN 47842-2205 | 2005-09-26 |
1073041299 | Russell Wayne Jefferson | General Practice | 501 S 11th St, Clinton, OK 73601-4303 | 2017-06-01 |
1295133528 | Mgmc, LLC | General Practice | 8926 Woodyard Rd, Suite 602, Clinton, MD 20735-4220 | 2014-12-19 |
Find all providers in CLINTON |
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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.