Individual provider Active NPI

Brian Paugh, PA-C

  • Physician Assistant
  • Sioux City, IA
National Provider Identifier
1225430416
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
075276 Issued in IA
Practice address
801 5TH St
Sioux City, IA 51102
Phone
(712) 279-2010
NPI assigned
Sep 19, 2014
Last updated
Dec 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 075276 IA Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51102

Mailing address

801 5TH St
Sioux City, IA 51102
Phone (712) 279-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105000678 IA Practitioner - Physician Assistant 9335361443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethink, PLLCGroup PAC ID 2466813522, 3 clinicians

Practice addresses (Care Compare)

4280 Sergeant Rd
Suite 225
Sioux City, IA 51106-4634
Phone (712) 202-2969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
075276IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manning Regional Healthcare Center Physician Assistant CurrentSince Aug 1, 2023 Accepting new patients
Burgess Health Center CurrentSince Apr 17, 2023 Accepting new patients
Manning Regional Healthcare Center CurrentSince Aug 1, 2023 Accepting new patients
Burgess Health Center Physician Assistant CurrentSince Apr 17, 2023 Accepting new patients

Locations

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

1600 Diamond St
Onawa, IA 51040
Phone (712) 423-2311

Interoperability endpoints

  • Direct secure messaging: bpaugh171322@uihcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1225430416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51102",
            "telephone_number": "712-279-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51102",
            "telephone_number": "712-279-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUGH",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "075276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.