CARMINA M FUSCO (NPI# 1104822683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104822683 |
| Entity Type | Individual |
| Full Name | CARMINA M FUSCO |
| Credential | DPM |
| Practice Address |
1715 Mccullough Ave 2nd Floor San Antonio TX 78212-4046 |
| Practice Telephone | 2107323668 |
| Practice Fax Number | 2017323338 |
| Mailing Telephone | 2107323668 |
| Mailing Fax Number | 2017323338 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1812 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | WELLMED | TXB126362 | 01 |
| WELLMED NETWORKS INC | TXB154993 | 01 | |
| TX | BCBS | 8J1317 | 01 |
| TX | BCBS | 0035PT | 01 |
| Street Address |
1715 MCCULLOUGH AVE 2ND FLOOR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598135824 | Nelly Elena Tellez | Nurse Practitioner | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2015-09-29 |
| 1457789935 | Carvajals Inc | Pharmacy | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2013-10-21 |
| 1033556857 | Patricia Saravia | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2013-06-03 |
| 1801160692 | Paree Lavonne Gallo | Physician Assistant | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2012-02-27 |
| 1295980274 | Lisa Marie Leffler | Internal Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2008-11-18 |
| 1639348048 | Aaron Alan Anguiano | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2008-02-29 |
| 1174694103 | Maria Delores Ponse Wheelis | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2006-11-13 |
| 1821044751 | Rosemary Romo Rivas | Registered Nurse | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2006-05-25 |
| 1144281478 | Jaime Moreno | Internal Medicine | 1715 Mccullough Ave, San Antonio, TX 78212 | 2006-03-28 |
| 1124025838 | Ramon Luis Figueroa | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467958538 | San Antonio Foot and Ankle Center, LLC | Podiatrist | 11212 State Highway 151 Ste 370, San Antonio, TX 78251-4504 | 2018-04-05 |
| 1750394243 | Jason E. Mireles | Podiatrist | 2430 W Mistletoe Ave, San Antonio, TX 78228-5311 | 2006-08-14 |
| 1255386736 | Jason Edward Mireles | Podiatrist | 14726 Hidden Glen Woods, San Antonio, TX 78249-1466 | 2006-05-23 |
| 1174515589 | Caroline Diane Gaynor | Podiatrist | 1804 Ne Loop 410, Suite 200, San Antonio, TX 78217-5215 | 2005-08-22 |
| 1659376572 | Teresa Barrios Ogden | Podiatrist | 12042 Blanco Rd, Suite 310, San Antonio, TX 78216-5440 | 2005-06-16 |
| 1417951385 | Robert Peter Wunderlich | Podiatrist | 1123 N Main Ave, # 201, San Antonio, TX 78212-4740 | 2005-06-09 |
| 1386647691 | Richard Anthony Keh | Podiatrist | 343 W Houston St, Suite 109, San Antonio, TX 78205-2262 | 2005-05-31 |
| 1326308305 | Jerry W. Patterson, D.p.m, P.a. | Podiatrist | 423 Treeline Park, Suite 315, San Antonio, TX 78209-2060 | 2012-05-23 |
| 1184812315 | Robert P Wunderlich Dpm Pa | Podiatrist | 1123 N Main Ave, #201, San Antonio, TX 78212-4740 | 2007-10-12 |
| 1497751846 | James D Ogden | Podiatrist | 12042 Blanco Rd, Suite 310, San Antonio, TX 78216-5440 | 2005-06-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on CARMINA M FUSCO.
| 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.