Emerald Coast Urology, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

EMERALD COAST UROLOGY, LLC

Practice address

435 Brookmeade Dr
Crestview, FL 32539-7304

Phone

(850) 605-0550

Fax

(850) 605-0440

NPI assigned

Feb 24, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph William Pugh, MDNPI 1275605834

Title

Owner

Phone

(904) 472-7441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph William Pugh, M.D.

  • Urology Physician
  • Crestview, FL
  • NPI 1275605834
  Medicare reassignment Care Compare group NPD Authorized official
• Katerina Fagan, ACNPC-AG

  • Urology Physician
  • Crestview, FL
  • NPI 1356911671
  Medicare reassignment Care Compare group NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1033063268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325881027",
            "telephone_number": "850-605-0550",
            "fax_number": "850-605-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397304",
            "telephone_number": "850-605-0550",
            "fax_number": "850-605-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-472-7441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicoline Elkins, MS, ATC, LAT, CEP
• Emerald Coast Dermatology & Skin Surgery Center PA
• Emerald Coast Heart & Afib, PLLC
• Emerald Coast Infectious Diseases Medical Group, P.a.
• Emerald Coast Pulmonology, PA
• Emerald Coast Women'S Center, P.L.
• Empowering Minds
• Empowering Minds Behavioral Services LLC
• Lilianna English
• Enrique Lujan

• Urology Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.