DR. MARLIN J FUGATE (NPI# 1275569535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275569535 |
| Entity Type | Individual |
| Full Name | DR. MARLIN J FUGATE |
| Credential | M.D. |
| Practice Address |
1303 Sw First American Pl Topeka KS 66604-4059 |
| Practice Telephone | 7852342306 |
| Practice Fax Number | 7852342550 |
| Mailing Telephone | 7852342306 |
| Mailing Fax Number | 7852342550 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
22513 | NE | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
04-30249 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BC/BS PREMIER BLUE | 102945 | 01 |
| KS | 100458780B | 05 |
| Street Address |
1303 SW FIRST AMERICAN PL |
| City | TOPEKA |
| State | KS |
| Zip Code | 66604-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161847 | Harish K Panicker | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2005-08-16 |
| 1710478169 | Jessica A Boehle | Nurse Practitioner | 1303 Sw First American Pl, Topeka, KS 66604 | 2018-05-22 |
| 1538303383 | Salvador Francis Iloreta | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2009-04-23 |
| 1326201617 | Aaron Dru Meggison | Internal Medicine | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2008-07-07 |
| 1538368451 | Joseph John Probst | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-07-11 |
| 1518177252 | Thomas S Helling Jr. | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-05-23 |
| 1861602088 | Daniel Alan Marichal | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-05-23 |
| 1164630117 | Olufolajimi Obembe | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-05-21 |
| 1215152996 | Matthew Stewart Malmstrom | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-04-16 |
| 1174662894 | Brett Troy Meggison | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888700 | Shannon Poell | Pharmacist | 1500 W 10th St, Topeka, KS 66604 | 2020-10-13 |
| 1750921029 | Topeka Er Hospital LLC | General Acute Care Hospital | 6135 Sw 17th Street, Topeka, KS 66604 | 2020-01-14 |
| 1821641127 | Eryn Carter | Dietitian, Registered | 2611 Sw 17th St Ste 270, Topeka, KS 66604 | 2019-07-17 |
| 1427576669 | Paula J Rhoades | Marriage & Family Therapist | 2000 Sw Gage Blvd., Topeka, KS 66604 | 2017-09-08 |
| 1417486036 | Elizabeth Ann Riffel | Physical Therapy Assistant | 1250 Sw Oakley Avenue, Suite 100, Topeka, KS 66604 | 2017-06-07 |
| 1093170748 | James Wayne Fox | Counselor | 4015 Se 21 St, Topeka, KS 66604 | 2015-12-23 |
| 1013267319 | Kristin Deann Perez | Midwife | 1500 Sw 10th Street, Topeka, KS 66604 | 2012-09-13 |
| 1801187125 | Hana Albrecht | Pathology | 1500 Sw Tenth Avenue, Topeka Pathology Group, LLC, Topeka, KS 66604 | 2011-04-20 |
| 1760639298 | Jaida Nicole Kidney | Marriage & Family Therapist | 2000 Gage Boulevard, Topeka, KS 66604 | 2008-08-27 |
| 1780892505 | Robert Michael Lane | Radiologic Technologist | 1403 Sw 6th St, Topeka, KS 66604 | 2007-05-18 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770768012 | Midwest Radiology Institute | Radiology | 1230 Sw Harvey St, Suite B, Topeka, KS 66604-4069 | 2008-01-06 |
| 1326075037 | Philip Loren Duniven | Radiology | Topeka Va Medical Ctr, 2200 Gage Blvd., Topeka, KS 66622-0001 | 2006-06-27 |
| 1518917368 | Frank H Yackovich | Radiology | 1303 Sw First American Place, Topeka, KS 66604-4040 | 2006-05-11 |
| 1922066810 | Magnetic Resonance Imaging Center of Kansas Lp | Radiology | 731 Sw Mulvane St, Topeka, KS 66606-1665 | 2006-05-02 |
| 1538303383 | Salvador Francis Iloreta | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2009-04-23 |
| 1073779708 | Jane C. Stormont Women's Center | Radiology | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2008-08-01 |
| 1578731535 | James Andrew Legako | Radiology | 1303 Sw First American Place, Topeka, KS 66604-4040 | 2008-02-13 |
| 1538368451 | Joseph John Probst | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-07-11 |
| 1518177252 | Thomas S Helling Jr. | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-05-23 |
| 1861602088 | Daniel Alan Marichal | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2007-05-23 |
| Find all providers in TOPEKA | ||||
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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.