Ebony Pugh

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

16581 Freeland St
Detroit, MI 48235-4058

Phone

(313) 400-3531

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Right Way Convoy

  • Non-emergency Medical Transport (VAN)
  • Detroit, MI
  • NPI 1104536929

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1477270924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S MAIN ST STE 215",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024750",
            "telephone_number": "501-539-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16581 FREELAND ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354058",
            "telephone_number": "313-400-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "EBONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "records.ascares.html",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16581 Freeland St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482354058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Public Owned Property Solution (Pop Solutions)
• Public Popular Health LLC
• Benjamin John Puccio, MD
• Rachel Puentes, MD
• Delvia C Pugh
• Angela Marie Pugliese, M.D,
• Lauren A Puhy, PT, DPT
• Cory Willans Pulcini, PA-C
• Maren Pulcini, PA-C
• Andre Guy Pulford

• Driver in Detroit, MI
• Providers in Detroit, MI by specialty
• Driver in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.