Active NPI
Scott Michael Pugh, MD, FAAP
- Pediatrics Physician
- Bryn Mawr, PA
National Provider Identifier
1164599247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD445884
- Practice address
- 919 Conestoga Rd
BLDG. 3, Suite 111
Bryn Mawr, PA 19010-1352 - Phone
- (610) 527-4715
- NPI assigned
- Nov 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD445884 | PA | Primary |
Addresses
Primary practice location
919 Conestoga Rd
BLDG. 3, Suite 111
Bryn Mawr, PA 19010-1352
Mailing address
919 Conestoga Rd
BLDG. 3, Suite 111
Bryn Mawr, PA 19010-1352
Phone (610) 527-4715
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD445884 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1164599247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BLDG. 3, SUITE 111",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "610-527-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BLDG. 3, SUITE 111",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "610-527-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD, FAAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD445884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.