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
Address 2501 Citico Ave, Chattanooga, Tennessee
Phone Number 4236972000
Fax Number 4236972118
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1124227459
Provider Enumeration Date 2007-07-17
Last Updated Date 2020-06-02

Provider Mailing Address Detail

Address 2501 Citico Ave
City Chattanooga
State Tennessee (TN)
Post Code 374041127
Phone Number 4236972000
Fax Number 4236972118

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
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 --

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FAQs about Mark W. Fugate

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.

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