Active NPI
Irving a. Lugo, M.D., P.a.
- Psychiatry Physician
- Greensboro, NC
National Provider Identifier
1790065456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30835
- Legal business name
- IRVING A. LUGO, M.D., P.A.
- Practice address
- 2311 W Cone Blvd
Suite 235
Greensboro, NC 27408-4042 - Phone
- (336) 288-6440
- NPI assigned
- Aug 25, 2011
- 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. Irving A Lugo, MD
- Title
- Owner
- Phone
- (336) 288-6440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30835 | NC | Primary |
Addresses
Primary practice location
2311 W Cone Blvd
Suite 235
Greensboro, NC 27408-4042
Mailing address
2311 W Cone Blvd
Suite 235
Greensboro, NC 27408-4042
Phone (336) 288-6440
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B5708 | Other | NC | MEDCOST |
| 8953174 | Medicaid | NC | |
| 53174 | Other | NC | BCBSNC |
| 79578 | Other | NC | CIGNA |
| 4136199 | Other | NC | AETNA |
National Provider Directory
National Provider DirectoryLocations
2311 W Cone Blvd
Ste 235
Greensboro, NC 27408
Phone (336) 288-6440
2006 New Garden Rd
Ste 202
Greensboro, NC 27410
Phone (336) 288-6440
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.
-
- Psychologist
- Greensboro, NC
- NPI 1356697171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410393600000",
"number": "1790065456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 W CONE BLVD",
"address_2": "SUITE 235",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274084042",
"telephone_number": "336-288-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 W CONE BLVD",
"address_2": "SUITE 235",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274084042",
"telephone_number": "336-288-6440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRVING A. LUGO, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"last_updated": "2014-09-11",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "IRVING",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-288-6440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "30835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B5708",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8953174",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "53174",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "79578",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4136199",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.