Individual provider Active NPI

Perry Alan Pugno, MD, MPH

  • Family Medicine Physician
  • Leawood, KS
National Provider Identifier
1043241201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28471 Issued in KS
Practice address
11400 Tomahawk Creek Pkwy
Leawood, KS 66211-2672
Phone
(800) 274-2237
Fax
(913) 906-6289
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G30137 CA
Family Medicine Physician 207Q00000X 28471 KS Primary

Addresses

Primary practice location

11400 Tomahawk Creek Pkwy
Leawood, KS 66211-2672

Mailing address

11400 Tomahawk Creek Pkwy
Leawood, KS 66211-2672
Phone (800) 274-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G30137CAMDFamily Medicine Physician
28471KSMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043241201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 TOMAHAWK CREEK PKWY",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112672",
            "telephone_number": "800-274-2237",
            "fax_number": "913-906-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 TOMAHAWK CREEK PKWY",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112672",
            "telephone_number": "800-274-2237",
            "fax_number": "913-906-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGNO",
        "first_name": "PERRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G30137",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "28471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.