Eric Gilbert Puga, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP2056 Issued in AZ

Practice address

12637 S Kosh St
Phoenix, AZ 85044-3340

Phone

(602) 318-5470

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508993700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12637 S KOSH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443340",
            "telephone_number": "602-318-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12637 S KOSH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443340",
            "telephone_number": "602-318-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGA",
        "first_name": "ERIC",
        "middle_name": "GILBERT",
        "name_prefix": "Mr.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP2056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797574",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pueblo Radiology, LLC
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• Marcos C. Puente, PHARMD
• Sarah Elizabeth Puente, DC
• Synthia Puffenberger, PH.D.
• Anne Elizabeth Puggini, NP
• Tracey Pugh, NP
• Julie Pugliese, FNP-C
• Susan Puglisi, PHARMD
• Paul Edwin Pugsley, M.D.

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.