JEFF L PUGACH


Address: 750 8th Ave Fl 6, Fort Worth, TX 76104-2515
Phone: 6823030376

JEFF L PUGACH (NPI# 1871589978) 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) 1871589978
Entity Type Individual
Full Name JEFF L PUGACH
Credential MD
Practice Address 750 8th Ave Fl 6
Fort Worth
TX 76104-2515
Mailing Address Po Box 99371
Fort Worth
TX 76199-0371
Practice Telephone 6823030376
Practice Fax Number 6823030377
Mailing Telephone (682) 885-1855
Mailing Fax Number 6828857347
Enumeration Date 2005-09-23
Last Update Date 2017-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2088P0231X Urology
Specialization: Pediatric Urology
L3077 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 144459805 05
TX MEDICAID OTHER 144459806 01
TX 144459807 05
TX 144459803 05
TX 144459804 05

Office Location

Street Address 750 8TH AVE FL 6
City FORT WORTH
State TX
Zip Code 76104-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871136390 Tessa Shambaugh Nurse Practitioner 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2019-10-28
1508284027 Lauren Mecke Nurse Practitioner 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2014-04-01
1457517500 Kala Ann Bright Nurse Practitioner 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2008-07-29
1700048964 Jonathan David Kaye Urology 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2008-06-30
1487622734 William G Reiner Psychiatry & Neurology 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2006-03-12
1760479513 Kirk J Pinto Urology 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2005-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
Find all providers in zip 76104

Taxonomy Information

Taxonomy Code 2088P0231X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Pediatric Urology

Taxonomy Definition

Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Notes: Source: American Academy of Pediatrics [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700048964 Jonathan David Kaye Urology 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2008-06-30
1760479513 Kirk J Pinto Urology 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 2005-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932543246 Dung Pham Urology 1200 Binz St Ste 690, Houston, TX 77004-6943 2013-04-18
1679702377 Andrew John Marks Urology 4499 Medical Dr Ste 360, San Antonio, TX 78229-3857 2009-07-02
1780719997 Mohammad A Sami Urology 26019 Juniper Stone Ln, Katy, TX 77494-2615 2007-02-21
1659455616 Lawrence J. Cisek Urology 6410 Fannin St Ste 950, Houston, TX 77030-5204 2006-10-25
1366411803 Warren Thomas Snodgrass Urology 5680 Frisco Square Blvd Ste 2300, Frisco, TX 75034 2006-03-16
1063044881 Crescent Medical Institute Pllc Urology 1200 Binz St Ste 690, Houston, TX 77004-6943 2020-02-10
1033652425 Pediatric Urology of San Antonio Pllc Urology 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 2016-12-02
1619383650 Pediatric and Adult Reconstructive Center for Urology, Pllc Urology 5680 Frisco Square Blvd, Suite 2300, Frisco, TX 75034-3308 2014-07-10
1326337874 Matthew David Timberlake Urology 3601 4th St Stop 7260, Lubbock, TX 79430-0816 2011-04-06
1154641546 Gaayana Raju Urology 4499 Medical Dr Ste 360, San Antonio, TX 78229-3857 2010-06-08
Find all providers with the same taxonomy

Competitor

Search similar providers

City FORT WORTH
Zip Code 76104

Improve Information

Please comment or provide details below to improve the information on JEFF L PUGACH.

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.

Trending Searches