Active NPI
Mark H Pugh, DO
- Psychiatry Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 03648
- Practice address
- 1030 Monarch St
Lexington, KY 40513-1843 - Phone
- (606) 748-2523
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M5890 | TX | |
| Psychiatry Physician | 2084P0800X | 03648 | KY | Primary |
Addresses
Primary practice location
1030 Monarch St
Lexington, KY 40513-1843
Mailing address
5096 Middleton PL
Lexington, KY 40515-1406
Phone (606) 748-2523
Other practice location 1
422 Sun River Ln
Dickinson, TX 77539-4175
Phone (281) 534-7059
Other practice location 2
9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-3354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187757303 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03648 | KY | MD | Psychiatry Physician |
| M5890 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Connection, Inc | Psychiatry | Current | Accepting new patients |
| Medication Assisted Recovery Institute, LLC | Psychiatry | Current | Accepting new patients |
| Telecare Mental Health Services of Texas, Inc. | Past | Accepting new patients | |
| Cyfair Psychiatry PA | Past | Accepting new patients | |
| Ajinder S. Dhatt, MD, P.a. | Psychiatry | Past | Accepting new patients |
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Locations
2900 N Military Trl
Ste 241
Boca Raton, FL 33431
Phone (561) 464-4949
5030 Champion Blvd
Ste G11
Boca Raton, FL 33496
5030 Champion Blvd
Ste G11535
Boca Raton, FL 33496
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a1c02c8d-1bac-499e-a65c-6c958b95811a/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Preventive Medicine) Physician
- Boca Raton, FL
- NPI 1154967891
Psychiatry
-
- Psychiatry Physician
- Miami, FL
- NPI 1205303781
-
- Psychiatry Physician
- Houston, TX
- NPI 1922295161
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1891391918
-
- Mental Health Counselor
- Houston, TX
- NPI 1689697658
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1417962010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1093919672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5096 MIDDLETON PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151406",
"telephone_number": "606-748-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 MONARCH ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131843",
"telephone_number": "606-748-2523"
}
],
"practiceLocations": [
{
"address_1": "422 Sun River Ln",
"address_purpose": "LOCATION",
"city": "Dickinson",
"state": "TX",
"postal_code": "775394175",
"country_code": "US",
"telephone_number": "281-534-7059",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9401 Southwest Fwy",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770741407",
"country_code": "US",
"telephone_number": "713-970-3354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGH",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M5890",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "03648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187757303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.