Organization Active NPI

Mary Annette Pugh MD, PLLC

  • General Practice Physician
  • Clinton, AR
National Provider Identifier
1710365382
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MARY ANNETTE PUGH MD, PLLC
Practice address
2500 Highway 65 S
Clinton, AR 72031-6588
Phone
(479) 979-8064
Fax
(479) 219-5500
NPI assigned
May 14, 2015
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Mary Annette PughNPI 1831359082
Title
MD
Phone
(479) 806-4290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2500 Highway 65 S
Clinton, AR 72031-6588

Mailing address

10364 Round Rock Rd
Dardanelle, AR 72834-7343
Phone (479) 567-5467

Other practice location 1

4516 Rogers Ave Ste B7
Fort Smith, AR 72903-3167
Phone (479) 567-5467

Other practice location 2

501 E B St
Russellville, AR 72801-4129
Phone (479) 567-5467

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1710365382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10364 ROUND ROCK RD",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728347343",
            "telephone_number": "479-567-5467",
            "fax_number": "479-219-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHWAY 65 S",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316588",
            "telephone_number": "479-979-8064",
            "fax_number": "479-219-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 Rogers Ave Ste B7",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033167",
            "country_code": "US",
            "telephone_number": "479-567-5467",
            "fax_number": "479-219-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E B St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728014129",
            "country_code": "US",
            "telephone_number": "479-567-5467",
            "fax_number": "479-219-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY ANNETTE PUGH MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "479-806-4290"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.