Organization Active NPI

Irving a. Lugo, M.D., P.a.

  • Psychiatry Physician
  • Greensboro, NC
National Provider Identifier
1790065456
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30835 Issued in NC
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

Updated by the provider on Sep 11, 2014

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
B5708OtherNCMEDCOST
8953174MedicaidNC
53174OtherNCBCBSNC
79578OtherNCCIGNA
4136199OtherNCAETNA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.