JUSTIN PUGH (NPI# 1295080133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295080133 |
| Entity Type | Individual |
| Full Name | JUSTIN PUGH |
| Credential | BS |
| Practice Address |
2496 E County Road 125 N Logansport IN 46947-7931 |
| Mailing Address |
1015 Michigan Ave Logansport IN 46947-1526 |
| Practice Telephone | 5747224042 |
| Mailing Telephone | 5747225151 |
| Mailing Fax Number | 5747391414 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2496 E COUNTY ROAD 125 N |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-7931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346527397 | Janiece Stover | Case Manager/Care Coordinator | 2496 E County Road 125 N, Logansport, IN 46947-7931 | 2011-11-04 |
| 1093060931 | James Camp | Case Manager/Care Coordinator | 2496 E County Road 125 N, Logansport, IN 46947-7931 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346527397 | Janiece Stover | Case Manager/Care Coordinator | 2496 E County Road 125 N, Logansport, IN 46947-7931 | 2011-11-04 |
| 1538335658 | Jennifer Lynn Craig | Case Manager/Care Coordinator | 1115 E Broadway, Logansport, IN 46947-3253 | 2008-05-08 |
| 1356515407 | Sarah Kirkman | Case Manager/Care Coordinator | 1120 Spear St, Logansport, IN 46947-3502 | 2008-04-19 |
| 1720524994 | Sh;ronda Carter | Case Manager/Care Coordinator | 110 Spring St, Logansport, LA 71049 | 2017-01-12 |
| 1487098455 | Kayci Cunningham | Case Manager/Care Coordinator | 408 North St, Logansport, IN 46947-2895 | 2013-04-22 |
| 1740522085 | Tiffany Nicole Grenier | Case Manager/Care Coordinator | 1807 Smith St, Logansport, IN 46947-1576 | 2013-03-25 |
| 1356680839 | Julie Lynn Brower | Case Manager/Care Coordinator | 1807 Smith St, Logansport, IN 46947-1576 | 2013-02-04 |
| 1184962243 | Carolgene Marie Henisa | Case Manager/Care Coordinator | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2013-01-24 |
| 1093060931 | James Camp | Case Manager/Care Coordinator | 2496 E County Road 125 N, Logansport, IN 46947-7931 | 2012-07-17 |
| 1073878369 | Lauren R Deitrich | Case Manager/Care Coordinator | 1807 Smith St, Logansport, IN 46947-1576 | 2012-07-12 |
| Find all providers in LOGANSPORT | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.