Active NPI
Mark Alan Nugent, M.D.
- Occupational Medicine Physician
- Taylor, MI
National Provider Identifier
1730305566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 4301053131
- Practice address
- 21107 Eureka Rd
Taylor, MI 48180-5232 - Phone
- (734) 287-3415
- NPI assigned
- Apr 18, 2007
- Last updated
- Nov 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 4301053131 | MI | Primary |
Addresses
Primary practice location
21107 Eureka Rd
Taylor, MI 48180-5232
Mailing address
2858 Leslie Park Cir
Ann Arbor, MI 48105-9254
Phone (734) 218-2133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301053131 | MI | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1730305566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2858 LESLIE PARK CIR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059254",
"telephone_number": "734-218-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21107 EUREKA RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805232",
"telephone_number": "734-287-3415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MI",
"license": "4301053131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.