Active NPI
Pamela Allison Hughes, DO
- Family Medicine Physician
- Lake George, CO
National Provider Identifier
1306835467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0070832
- Practice address
- 37081 County Road 77
Lake George, CO 80827-9408 - Phone
- (307) 899-7991
- Fax
- (703) 828-0257
- NPI assigned
- Oct 20, 2005
- Last updated
- Jul 22, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14507A | WY | |
| Family Medicine Physician | 207Q00000X | MED-PHYS-LIC-104426 | MT | |
| Family Medicine Physician | 207Q00000X | 330345 | NY | |
| Family Medicine Physician | 207Q00000X | 0102205909 | VA | |
| Family Medicine Physician | 207Q00000X | 0070832 | CO | Primary |
Addresses
Primary practice location
37081 County Road 77
Lake George, CO 80827-9408
Mailing address
37081 County Road 77
Lake George, CO 80827-9408
Phone (307) 899-7991
Other practice location 1
102 S Union St
Alexandria, VA 22314-3324
Phone (307) 899-7991
Other practice location 2
6424 Alexandra Louise Dr Ste 120
Orlando, FL 32827-5812
Phone (407) 499-8511
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070832 | Other | CO | COLORADO LICENSE |
| 0102205909 | Other | VA | VIRGINIA LICENSE |
| 330345 | Other | NY | NEW YORK LICENSE |
| 104426 | Other | MT | MONTANA LICENSE |
| 14507A | Other | WY | WYOMING LICENSE |
Other names 1
- Dr. Pamela Allison Hughes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 5, 2017 through Jan 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330345 | NY | MD | Licensed Practical Nurse |
| 0070832 | CO | MD | Family Medicine Physician |
| MED-PHYS-LIC-104426 | MT | MD | Family Medicine Physician |
| 0102205909 | VA | MD | Family Medicine Physician |
| 14507A | WY | MD | Family Medicine Physician |
| 2001 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Emergency Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Laurinburg, NC
- NPI 1003861386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1306835467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37081 COUNTY ROAD 77",
"city": "LAKE GEORGE",
"state": "CO",
"postal_code": "808279408",
"telephone_number": "307-899-7991",
"fax_number": "703-828-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37081 COUNTY ROAD 77",
"city": "LAKE GEORGE",
"state": "CO",
"postal_code": "808279408",
"telephone_number": "307-899-7991",
"fax_number": "703-828-0257"
}
],
"practiceLocations": [
{
"address_1": "102 S Union St",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223143324",
"country_code": "US",
"telephone_number": "307-899-7991",
"fax_number": "703-828-0257",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6424 Alexandra Louise Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328275812",
"country_code": "US",
"telephone_number": "407-499-8511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGHES",
"first_name": "PAMELA",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "14507A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-104426",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "330345",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102205909",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "0070832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSE",
"identifier": "0070832",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA LICENSE",
"identifier": "0102205909",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE",
"identifier": "330345",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA LICENSE",
"identifier": "104426",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING LICENSE",
"identifier": "14507A",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "HUGHES",
"middle_name": "ALLISON",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake George, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.