Active NPI
Julie Lavinder Pugh, MD
- Family Medicine Physician
- Alliance, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-073228
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173320 | Medicaid | OH |
Other names 1
- Julie Lavinder
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
Enrollment records 1
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
Practice addresses (Care Compare)
6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999
Hospital & facility affiliations
- Aultman Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-073228 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Now Urgent Care, LLC | Current | 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.
-
- Urgent Care Clinic/Center
- North Canton, OH
- NPI 1225662927
-
- Exclusive Provider Organization
- Alliance, OH
- NPI 1699929562
-
- General Acute Care Hospital
- Alliance, OH
- NPI 1134153125
-
- Rural Acute Care Hospital
- Wilmington, OH
- NPI 1427064641
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
-
- Emergency Medicine Physician
- Wilmington, OH
- NPI 1356329890
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1639157175
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.