Dayton Center for Neurological Disorders,Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.019636 Issued in OH

Legal business name

DAYTON CENTER FOR NEUROLOGICAL DISORDERS,INC

Practice address

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811

Phone

(937) 439-6186

Fax

(937) 723-2638

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth Pugar, D.O.NPI 1528060399

Title

Owner/D.O.

Phone

(937) 439-6186

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Brian Pugar, D.O.

  • Neurology Physician
  • Centerville, OH
  • NPI 1528060399
  NPD Authorized official

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1750833760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "937-723-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "937-723-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CENTER FOR NEUROLOGICAL DISORDERS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "PUGAR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/D.O.",
        "authorized_official_telephone_number": "937-439-6186",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.019636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN.CNP.019636",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Dawson
• Dayton Cardiology Consult
• Dayton Cardiology Consultants Inc
• Dayton Cardiology Consultants, LLC
• Dayton Center for Neurological Disorders Inc
• Dayton Ear Nose & Throat Surgeons Inc
• Dayton Ear, Nose & Throat Surgeons, Inc.
• Dayton Home Medical LLC
• Dayton OB-GYN Inc
• Dayton Ohio Comprehensive Surgery LLC

• All providers in Centerville, OH
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.