Mark E Sturgill in Fort Wayne - Diagnostic Radiology

Mark E Sturgill - NPI 1104848506

Mark E Sturgill is a Diagnostic Radiology in Fort Wayne, Indiana. Mark E Sturgill practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark E Sturgill is 1104848506. The last update date is 2022-03-25.

Mark E Sturgill's current location address is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. You can contact this provider via phone number 2604321568 and fax number 2604324969. The mailing address for Mark E Sturgill is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark E Sturgill
Address 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana
Phone Number 2604321568
Fax Number 2604324969
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1104848506
Provider Enumeration Date 2006-07-24
Last Updated Date 2022-03-25

Provider Mailing Address Detail

Address 5001 Us Highway 30 W Ste D
City Fort Wayne
State Indiana (IN)
Post Code 468189701
Phone Number 2604321568
Fax Number 2604324969

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No DR.0053540
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
513859 KY BLUE CROSS/BLUE SHIELD
7100002420 KY --
200377650A IN --

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FAQs about Mark E Sturgill

What is the unique identifier code issued to Mark E Sturgill by the Centers for Medicare & Medicaid Services (CMS)?

The Mark E Sturgill has been assigned the NPI (National Provider Identifier) 1104848506. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Mark E Sturgill is located?

The Mark E Sturgill is situated at the following address: 5001 Us Highway 30 W Ste D, Fort Wayne, IN, 468189701.

What is Mark E Sturgill's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark E Sturgill is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

When did the Mark E Sturgill receive its 1104848506?

The Mark E Sturgill was issued its 1104848506 on 2006-07-24, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Mark E Sturgill, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark E Sturgill, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-25.

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