Active NPI
Douglas E. Pugmire DO PLLC
- Gynecologic Oncology Physician
- Lansing, MI
National Provider Identifier
1548458904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 5101013693
- Legal business name
- DOUGLAS E. PUGMIRE DO PLLC
- Practice address
- 1515 Lake Lansing Rd
Suite O
Lansing, MI 48912-3753 - Phone
- (517) 372-9967
- Fax
- (517) 372-0669
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas E Pugmire, D.O.
- Title
- Owner
- Phone
- (517) 372-9967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 5101013693 | MI | Primary |
Addresses
Primary practice location
1515 Lake Lansing Rd
Suite O
Lansing, MI 48912-3753
Mailing address
1515 Lake Lansing Rd
Suite O
Lansing, MI 48912-3753
Phone (517) 372-9967
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5330168 | Other | MI | BLUE CROSS BLUE SHIELD |
| 114258903 | Medicaid | MI | |
| 200000002555 | Other | MI | PHP OF MID MICHIGAN |
| 5330168 | Other | MI | BLUE CARE NETWORK |
Other names 1
- Gynecologic Oncology Specialist of MI
National Provider Directory
National Provider DirectoryLocations
1515 Lake Lansing Rd
Ste O
Lansing, MI 48912
Phone (517) 372-9967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1548458904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 LAKE LANSING RD",
"address_2": "SUITE O",
"city": "LANSING",
"state": "MI",
"postal_code": "489123753",
"telephone_number": "517-372-9967",
"fax_number": "517-372-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 LAKE LANSING RD",
"address_2": "SUITE O",
"city": "LANSING",
"state": "MI",
"postal_code": "489123753",
"telephone_number": "517-372-9967",
"fax_number": "517-372-0669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS E. PUGMIRE DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "PUGMIRE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-372-9967",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MI",
"license": "5101013693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5330168",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114258903",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP OF MID MICHIGAN",
"identifier": "200000002555",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "5330168",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gynecologic Oncology Specialist of MI",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.