Leah Mugo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036130917 Issued in IL

Practice address

2345 Bobcat Village Center Rd
Suite202
North Port, FL 34288-8999

Phone

(941) 257-2930

Fax

(941) 257-2923

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dwic of Tampa Bay, Inc

  dba MedExpress Urgent Care - Hudson, State Road 52

  • Urgent Care Clinic/Center
  • Hudson, FL
  • NPI 1598132490
  NPD (past)
• SMH Physician Services Inc

  dba First Physician Group

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1033184098

  Family Medicine

  NPD (past)
• SMH Physician Services Inc

  dba First Physicians Group

  • Internal Medicine Physician
  • North Port, FL
  • NPI 1134434418
  NPD (past)
• SMH Physician Services Inc

  dba First Physicians Group

  • Gynecology Physician
  • Sarasota, FL
  • NPI 1275525826
  NPD (past)
• SMH Physician Services Inc

  • Maternal & Fetal Medicine Physician
  • Sarasota, FL
  • NPI 1689665424
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1679700694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 BOBCAT VILLAGE CENTER RD",
            "address_2": "SUITE202",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888999",
            "telephone_number": "941-257-2930",
            "fax_number": "941-257-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGO",
        "first_name": "LEAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036130917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "33181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mabel Montesino
• Kristen Moore
• Bailey Morgan
• Adam Morsey, ARNP
• Mr. & Mrs. Transport, LLC
• Alyssa Murphy, FNP-C
• Barbara L. Musgrove
• Jennifer Musselman
• Myle FL LLC
• Erica Nabers, AP

• Family Medicine Physician in North Port, FL
• Providers in North Port, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.