Kenneth C. Pugh, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD-88 Issued in HI

Practice address

91-2135 Fort Weaver Rd FL 3
Ewa Beach, HI 96706-1940

Phone

(808) 691-3352

Fax

(808) 691-3355

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Island Audiology, LLC

  • Audiologist
  • Honolulu, HI
  • NPI 1811948045
  Medicare reassignment NPD
• The Queen'S Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1487693586
  Medicare reassignment NPD
• The Queen'S Medical Center

  • Health Service Clinic/Center
  • Honolulu, HI
  • NPI 1336761311
  NPD
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1477682805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD FL 3",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-691-3352",
            "fax_number": "808-691-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD FL 3",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-691-3352",
            "fax_number": "808-691-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "KENNETH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80330",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "HI",
            "license": "AUD-88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000245423",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55114401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Pronesti, APRN
• Bryscen Prothero, APRN-RX, PNP
• Joy Anna Pryor, PMHNP
• PSH KM LLC
• PT Hawaii, Inc
• Amanda Pump, MS HUMAN SERVICES
• Donald E. Pump, MS, ACSM-CEP
• Alexander Quach
• Franciska Quan, RN
• Queens Development Corporation & Subsidiaries

• Audiologist in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Audiologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.