Tyler Fugate is a Internal Medicine in Lebanon, Pennsylvania. Tyler Fugate practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Tyler Fugate is 1093867350. The last update date is 2016-08-30.
Tyler Fugate's current location address is 775 Norman Dr, Lebanon, Pennsylvania. You can contact this provider via phone number 7172745500 and fax number 7172020130. The mailing address for Tyler Fugate is 775 Norman Dr, Lebanon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyler Fugate |
|---|---|
| Address | 775 Norman Dr, Lebanon, Pennsylvania |
| Phone Number | 7172745500 |
| Fax Number | 7172020130 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1093867350 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
| Address | 775 Norman Dr |
|---|---|
| City | Lebanon |
| State | Pennsylvania (PA) |
| Post Code | 170427497 |
| Phone Number | 7172745500 |
| Fax Number | 7172020130 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | OS013449 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PO1680500 | PA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Tyler Fugate by the Centers for Medicare & Medicaid Services?
The Tyler Fugate has been issued the NPI (National Provider Identifier) 1093867350. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tyler Fugate's physical address?
The Tyler Fugate is physically located at 775 Norman Dr, in the city of Lebanon, PA, with the postal code 170427497.
What is Tyler Fugate's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tyler Fugate's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093867350 to Tyler Fugate?
The Centers for Medicare & Medicaid Services assigned the 1093867350 to Tyler Fugate on 2007-01-17.
When was the Tyler Fugate's information last updated?
The Tyler Fugate's information was last updated on 2016-08-30.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC