Stephen C Pugh Memorial Clinic

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

STEPHEN C PUGH MEMORIAL CLINIC

Practice address

Weeksville Road
BLDG 128
Elizabeth City, NC 27909

Phone

(252) 335-6460

Fax

(252) 335-6255

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Tina Starling, CWO

Title

Clinic Administrator

Phone

(252) 335-6527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851481089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEEKSVILLE ROAD",
            "address_2": "BLDG 128",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEEKSVILLE ROAD",
            "address_2": "BLDG 128",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27909",
            "telephone_number": "252-335-6460",
            "fax_number": "252-335-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C PUGH MEMORIAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARLING",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "252-335-6527",
        "authorized_official_credential": "CWO"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Prirchard Stanley, LCAS
• Zoe Starbuck, RBT
• Danielle C Starcher
• Tina M Starling, CWO
• Starting Over Inc.
• Steve M Garman MD, PC
• Marina Lynch Stevenson, SLP
• Nicholas Shawn Stevenson
• Paul Lindsay Stevenson, MD
• Stewart Cleaves Manning, MD PA

• Military/U.S. Coast Guard Outpatient Clinic/Center in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.