Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN J PUGEL, PAC
ActiveETHAN J PUGEL, PAC is a Physician Assistant healthcare provider located in OMAHA, Nebraska. NPI 1699476366 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OMAHA, NE
Registration Details
- NPI Number
- 1699476366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2023 (3.4093841141094 yrs)
- Last Updated
- Mar 10, 2023
- Licenses
-
119139 (IA)2906 (NE)
Practice Information
- Address
-
2725 S 144TH ST STE 212OMAHA, NE, 681445253Browse NE providers · Browse ZIP 68144
- Phone
- 4026370800
- Fax
- 4026370808
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| JOHN BECKENHAUER | PA-C | 1811991789 |
| MR. JAMES ANTHONY KRAHLING | PA-C | 1699779264 |
| TAMARA A DOLPHENS | PA | 1518963644 |
| JACQUELINE G GAFFNEY | PA-C | 1427055334 |
| MRS. MENDY MARIE PETERSON | PA-C | 1205834173 |
| KIMBERLY J DIERKS | P.A.-C | 1750374666 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.