Brian W Pugh, DO | |
6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405-6914 | |
(801) 475-5400 | |
(801) 475-8614 |
Full Name | Brian W Pugh |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 6028 S Ridgeline Dr, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023005808 | NPI | - | NPPES |
2900043 | Other | UNITED HEALTHCARE | |
870653164002 | Medicaid | UT | |
107008467101 | Other | IHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 3619881204 (Utah) | Primary |
Entity Name | Tanner Memorial Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
Mailing Address | Practice Location Address |
---|---|
Brian W Pugh, DO 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405-6914 Ph: (801) 475-5400 | Brian W Pugh, DO 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405-6914 Ph: (801) 475-5400 |
Mikhail Shipotko, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 | |
Ewa Gniado, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Jaclyn Nguyen, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 | |
Dr. Timothy Trask, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654 | |
Gregory T Almony, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642 | |
Dr. Jack D Wahlen, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 |