DR. JAMES A FUGAZZI (NPI# 1003809005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003809005 |
Entity Type | Individual |
Full Name | DR. JAMES A FUGAZZI |
Credential | M.D, |
Practice Address |
5400 Mackinaw Rd Saginaw MI 48604-9515 |
Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
Practice Telephone | 9895835250 |
Practice Fax Number | 9895835259 |
Mailing Telephone | 9895835250 |
Mailing Fax Number | 9895835259 |
Enumeration Date | 2005-08-24 |
Last Update Date | 2017-01-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
JF076329 | MI | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35-086184 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MI MEDICARE | 0N24000016 | 01 |
MI | MI MEDICAID-OH LOCATIONS | 4758357 | 01 |
OH | RR MEDICARE | P00246120 | 01 |
MI | RR MEDICARE | P00431152 | 01 |
OH | 2574003 | 05 | |
MI | 4758357 | 05 |
Street Address |
5400 MACKINAW RD |
City | SAGINAW |
State | MI |
Zip Code | 48604-9515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447258330 | Helen Judith Decorte | Nurse Practitioner | 5400 Mackinaw Rd, Suite 2300, Saginaw, MI 48604-9515 | 2005-07-13 |
1669013868 | Amber Rae Righi | Nurse Practitioner | 5400 Mackinaw Rd, Saginaw, MI 48604-9515 | 2019-09-30 |
1841765914 | Jessica Kay Mcgee | Physical Therapist | 5400 Mackinaw Rd, Saginaw, MI 48604-9515 | 2018-10-04 |
1649640830 | Michigan Spine and Brain Institute | Specialist | 5400 Mackinaw Rd, Suite 2300, Saginaw, MI 48604-9515 | 2015-09-30 |
1467841189 | Brittany Hanley | Nurse Practitioner | 5400 Mackinaw Rd, Suite 6100, Saginaw, MI 48604-9515 | 2015-01-19 |
1417291121 | Michigan Spine and Brain Institute PC | Neurological Surgery | 5400 Mackinaw Rd, Ste 2300, Saginaw, MI 48604-9515 | 2012-11-19 |
1194089441 | Mark Anthony Zaki | Radiology | 5400 Mackinaw Rd, Saginaw, MI 48604-9515 | 2012-07-02 |
1790056471 | Terese Cook | Registered Nurse | 5400 Mackinaw Rd, 5th Floor, Saginaw, MI 48604-9515 | 2012-01-26 |
1124353727 | Michigan Spine and Brain Institute PC | Medical Genetics | 5400 Mackinaw Rd, Suite 2300, Saginaw, MI 48604-9515 | 2009-10-15 |
1982938353 | Sharon M Donnenwerth | Dietitian, Registered | 5400 Mackinaw Rd, Saginaw, MI 48604-9515 | 2009-10-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477530202 | Young H Kim | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2005-12-22 |
1558998989 | Precision Radiotherapy Pllc | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-03-25 |
1194089441 | Mark Anthony Zaki | Radiology | 5400 Mackinaw Rd, Saginaw, MI 48604-9515 | 2012-07-02 |
1952569824 | Ascension St. Mary's Hospital | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2008-05-28 |
1780841262 | Ascension St. Mary's Hospital | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2008-05-21 |
1669697629 | Salam Yanek | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2007-04-16 |
1336165794 | Vivian Elayne Arterbery | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2006-07-15 |
1578515573 | Saginaw Radiotherapy PC | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2006-05-17 |
1487631222 | Khurshid Ahmad | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2005-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
1972985737 | Andrew Thompson | Radiology | 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 | 2015-06-29 |
1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
1932533692 | Compass Healthcare, Plc | Radiology | 2175 Coolidge Rd, East Lansing, MI 48823-1379 | 2013-08-29 |
1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
1881906519 | Sanath Kumar | Radiology | 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 | 2010-07-10 |
1376772574 | Matthew W Packard | Radiology | 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 | 2009-07-08 |
1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.