Individual provider Active NPI

Julie Lavinder Pugh, MD

  • Family Medicine Physician
  • Alliance, OH
National Provider Identifier
1225032063
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-073228 Issued in OH
Practice address
200 E State St
Alliance, OH 44601-4936
Phone
(330) 829-9389
Fax
(330) 829-9372
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-07-7328 OH
Family Medicine Physician 207Q00000X 35-073228 OH Primary

Addresses

Primary practice location

200 E State St
Alliance, OH 44601-4936

Mailing address

200 E State St
Alliance, OH 44601-4936
Phone (330) 829-9389

Other identifiers 1

IdentifierTypeStateIssuer
2173320MedicaidOH

Other names 1

  • Julie Lavinder Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722001433 OH Practitioner - Family PracticePractitioner - Emergency Medicine 1052391786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians

Practice addresses (Care Compare)

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-073228OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Now Urgent Care, LLC CurrentSince Sep 3, 2020 Accepting new patients
Alliance Community Medical Foundation LLC Past Accepting new patients
Columbus Radiology Corp Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients
Alliance Medical Associates Inc Past Accepting new patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients

Locations

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

506 W Main St
Louisville, OH 44641
Phone (330) 829-9389

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1225032063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014936",
            "telephone_number": "330-829-9389",
            "fax_number": "330-829-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014936",
            "telephone_number": "330-829-9389",
            "fax_number": "330-829-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINDER PUGH",
        "first_name": "JULIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-07-7328",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-073228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LAVINDER",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.