Matthew S Pugliese, M. D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

062417 Issued in GA

Legal business name

MATTHEW S PUGLIESE, M. D.

Practice address

820 Saint Sebastian Way
Suite 7C
Augusta, GA 30901-2643

Phone

(706) 434-0130

Fax

(706) 434-0131

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Nelms

Title

Practice Manager

Phone

(706) 434-0130

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1457687964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3346",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143346",
            "telephone_number": "706-434-0130",
            "fax_number": "706-434-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 7C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-434-0130",
            "fax_number": "706-434-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW S PUGLIESE, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-434-0130"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "062417",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "GA",
            "license": "062417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143386616A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudius Silveira Matos, CRNA
• Elizabeth Matos
• Shannon Marie Matta, COTA
• Matthew K Howard, MD, LLC
• Matthew M. Mondi, P.C.
• Avery Madeleine Matthews, M.D.
• Brian Edward Matthews, PA, RN
• Farrell Matthews Jr., COMS
• Garrett Matthews, PHARMD
• Madeleine Devereaux Matthews, LPC

• Surgical Oncology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Surgical Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.