Mark W. Fugate in Chattanooga - Vascular Surgery
Mark W. Fugate - NPI 1124227459
Mark W. Fugate is a Vascular Surgery in Chattanooga, Tennessee. Mark W. Fugate practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mark W. Fugate is 1124227459. The last update date is 2020-06-02.
Mark W. Fugate's current location address is 2501 Citico Ave, Chattanooga, Tennessee. You can contact this provider via phone number 4236972000 and fax number 4236972118. The mailing address for Mark W. Fugate is 2501 Citico Ave, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark W. Fugate |
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Address | 2501 Citico Ave, Chattanooga, Tennessee |
Phone Number | 4236972000 |
Fax Number | 4236972118 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1124227459 |
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Provider Enumeration Date | 2007-07-17 |
Last Updated Date | 2020-06-02 |
Provider Mailing Address Detail
Address | 2501 Citico Ave |
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City | Chattanooga |
State | Tennessee (TN) |
Post Code | 374041127 |
Phone Number | 4236972000 |
Fax Number | 4236972118 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | 44206 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00741318 | RR MEDICARE | ||
4230402 | TN | BCBS | |
1515384 | TN | -- | |
163534 | AL | -- | |
540820812A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark W. Fugate by the Centers for Medicare & Medicaid Services (CMS)?
The Mark W. Fugate has been assigned the NPI (National Provider Identifier) 1124227459. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mark W. Fugate is physically located?
The Mark W. Fugate is situated at the following address: 2501 Citico Ave, Chattanooga, TN 374041127.
What is Mark W. Fugate's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark W. Fugate is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124227459 to Mark W. Fugate?
The Centers for Medicare & Medicaid Services originally issued the 1124227459 to Mark W. Fugate on 2007-07-17.
When was the information related to Mark W. Fugate most recently updated or refreshed?
The details pertaining to the Mark W. Fugate, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-02.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL