NICHOLAS EDWARD FUSCO (NPI# 1477551620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477551620 |
| Entity Type | Individual |
| Full Name | NICHOLAS EDWARD FUSCO |
| Credential | PA-C |
| Practice Address |
391 George W Liles Pkwy Nw Concord NC 28027-8218 |
| Practice Telephone | 7048861780 |
| Practice Fax Number | 7049184505 |
| Mailing Telephone | 7048861780 |
| Mailing Fax Number | 7049184505 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-10044 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002789L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA002789L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972876514 | Nicholas Matthew Fusco | Pharmacist | 203 Kapoor Hall, Buffalo, NY 14221 | 2012-02-13 |
| 1053852483 | Nicholas Fusco | Emergency Medicine | 700 W Oak St, Kissimmee, FL 34741-4924 | 2017-03-18 |
| Street Address |
391 GEORGE W LILES PKWY NW |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-8218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225404635 | Roberto A Marsico Jr. | Physician Assistant | 391 George W Liles Pkwy Nw, Concord, NC 28027-8218 | 2015-08-19 |
| 1851638001 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 391 George W Liles Pkwy Nw, Concord, NC 28027-8218 | 2013-01-08 |
| 1821372095 | Urgent Cares of America North Carolina Inc. | Family Medicine | 391 George W Liles Pkwy Nw, Concord, NC 28027-8218 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1083252357 | Kelsey Ann Rothenberg | Physician Assistant | 284 Executive Park Dr Ste 110, Concord, NC 28025-1834 | 2019-12-17 |
| 1336557644 | Brian Daniel II | Physician Assistant | 2380 Salvio St, Concord, CA 94520-2193 | 2014-07-30 |
| 1447529573 | Sharon Yvonne Leavitt | Physician Assistant | 2095 Diamond Blvd Ste B150, Concord, CA 94520-5832 | 2011-12-19 |
| 1467588087 | Lynde Rouche | Physician Assistant | 1260 Hale Dr, Concord, CA 94518-1516 | 2007-02-26 |
| 1114069259 | Svetlana Alexander Lisovskiy | Physician Assistant | 2425 East St Ste 15, Concord, CA 94520-1926 | 2007-02-13 |
| 1457360802 | Alan D Parzick | Physician Assistant | 264 Pleasant Street, Concord, NH 03301-2551 | 2006-08-05 |
| 1013973858 | Jeniane L. Rathburn | Physician Assistant | 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 | 2006-04-21 |
| 1740245224 | Alison Jean Dominguez | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2006-04-19 |
| 1386611895 | David Alan Johnson | Physician Assistant | 219 Le Phillip Ct, Concord, NC 28025-2900 | 2006-03-02 |
| Find all providers in CONCORD | ||||
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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.