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Jeffrey M Pugsley

  • Male

Medical Specialty

Professional ID

  • NPI: 1124133004
  • PECOS ID: 7810169463
  • Enrollment ID: I20120612000287
  • Credential(MD, DO, DPM):
  • Medical School: George Washington University School Of Medicine
  • Medical School Graduation Year: 2005

Hospital Service

  • Hospital CCN1: 130006
  • Business Name (LBN)1: St Lukes Regional Medical Center
  • Hospital CCN2: 131323
  • Business Name (LBN)2: St Lukes Wood River Medical Center
  • Hospital CCN3: 131311
  • Business Name (LBN)3: St Lukes Elmore Medical Center
  • Hospital CCN4: 130007
  • Business Name (LBN)4: St Alphonsus Regional Medical Center
  • Hospital CCN5: 131307
  • Business Name (LBN)5: Weiser Memorial Hospital

Medical Practices

  • Organization Name: Weiser Valley Hospital District
  • Group Practice ID assigned by PECOS: 5294704276
  • Number of Group Practice member: 28

Location

  • Address1: 645 E 5th St
  • Address2: Memorial Hosp Specialty Clinic
  • City: Weiser
  • State: Idaho
  • Zip Code: 83672
  • Phone Number: (208)549-3152

Medical Practices

  • Organization Name: Boise Radiology Group Pllc
  • Group Practice ID assigned by PECOS: 9638153257
  • Number of Group Practice member: 38

Location

  • Address1: 190 E Bannock
  • Address2:
  • City: Boise
  • State: Idaho
  • Zip Code: 83712
  • Phone Number: (208)381-2094

Location

  • Address1: 600 N Robbins Rd
  • Address2:
  • City: Boise
  • State: Idaho
  • Zip Code: 83702
  • Phone Number: (208)489-4940

Location

  • Address1: 895 N 6th St E
  • Address2:
  • City: Mountain Home
  • State: Idaho
  • Zip Code: 83647
  • Phone Number: (208)381-2094

Location

  • Address1: 9850 St Lukes Dr
  • Address2:
  • City: Nampa
  • State: Idaho
  • Zip Code: 83687
  • Phone Number: (208)505-2017

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):