JUSTIN KENNETH FUGATE (NPI# 1205302353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205302353 |
| Entity Type | Individual |
| Full Name | JUSTIN KENNETH FUGATE |
| Credential | PA-C |
| Practice Address |
1926 Alcoa Hwy Ste 210 Knoxville TN 37920 |
| Mailing Address |
1926 Alcoa Hwy Ste 210 Knoxville TN 37920-1543 |
| Practice Telephone | 8655462663 |
| Practice Fax Number | 8655469047 |
| Mailing Telephone | 8655462663 |
| Mailing Fax Number | 8655469047 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3721 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3721 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8350 Kingston Pike, Knoxville, TN 379195449 | 8656901801 |
| Street Address |
1926 ALCOA HWY STE 210 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093071268 | Michael James Kern | Orthopaedic Surgery | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920 | 2012-04-02 |
| 1578197653 | Matthew R Labelle | Physician Assistant | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2020-02-27 |
| 1235608167 | William Charles Short | Orthopaedic Surgery | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2018-11-20 |
| 1437632924 | Hannah Maus | Physician Assistant | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2018-09-11 |
| 1043791668 | Braxton S Childers | Physician Assistant | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2018-08-22 |
| 1851813505 | Chelsey Nicole Cantwell | Physician Assistant | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2017-07-14 |
| 1134566466 | Andrew Paul Harris | Orthopaedic Surgery | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2013-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198061 | John Intemann | Physician Assistant | 2708 Swafford Rd, Knoxville, TN 37932-1311 | 2020-09-13 |
| 1942839311 | Melissa Joanne O'neill | Physician Assistant | 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 | 2020-04-07 |
| 1447895370 | Keiana Skinner | Physician Assistant | 2206 Finley Cane Ln, Knoxville, TN 37932-1572 | 2019-11-14 |
| 1780231068 | Kaycee Heitzman | Physician Assistant | 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 | 2019-08-21 |
| 1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
| 1508423369 | Bradley-james Ryan Faulkner | Physician Assistant | 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 | 2019-05-28 |
| 1316406499 | David M Beauchamp | Physician Assistant | 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 | 2019-03-18 |
| 1568920593 | Richard Ervin Birmingham II | Physician Assistant | 304 Bagwell Rd, Knoxville, TN 37924-2813 | 2019-03-08 |
| 1710443080 | Devon Meske Herrin | Physician Assistant | 6484 Kingston Pike, Knoxville, TN 37919-4863 | 2019-02-12 |
| 1780149070 | Shelby Paige Bean | Physician Assistant | 7661 Red Bay Way, Knoxville, TN 37919-4722 | 2019-01-31 |
| Find all providers in KNOXVILLE | ||||
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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.