Provider Demographics
NPI:1851331169
Name:MCHUGH, REGIS WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:REGIS
Middle Name:WILLIAM
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9016
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:419 W PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2211
Practice Address - Country:US
Practice Address - Phone:724-837-5810
Practice Address - Fax:724-837-8938
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022260E207ND0900X, 207NS0135X, 207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010466030001Medicaid
3106029OtherAETNA
PA13332OtherKEYSTONE
PAB36236Medicare UPIN
PA69133OtherMED PLUS/UNISON
070002295OtherUNITED HEALTHCARE
PA101065OtherUPMC
PA95875Medicare ID - Type Unspecified
PA1010717OtherGATEWAY
9447714-001OtherCIGNA