James Kethledge Fugate Jr. (NPI# 1225148653, PAC ID# 6406757749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1225148653 |
| PAC ID by PECOS | 6406757749 |
| Professional Enrollment ID | I20040119000564 |
| Full Name | James Kethledge Fugate Jr. |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Address |
3045 Marietta Ave Lancaster PA 17601-1321 |
| Phone Number | 7178982900 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 8729351077 |
| Number of Group Practice Members | 108 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 233 College Ave, Suite 200, Lancaster, PA 17603-3384 | 7172917221 | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| 233 College Ave, Lancaster, PA 17603-3384 | 7172917221 | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| 3045 Marietta Ave, Lancaster, PA 17601-1321 | 7178982900 | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Physicians | 143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian K Derr | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| Alison Anna Platt | Gastroenterology | Penn State Health Community Medical Group, LLC | 1421 Fishburn Rd, Hershey, PA 17033-9795 |
| Julie C Machado | Internal Medicine | Penn State Health Community Medical Group, LLC | 320 S Market St, Manor Htlcare and Rehabilit, Elizabethtown, PA 17022-2422 |
| Lauren A Myer | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 |
| Kathleen E Yesavage | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 3912 Trindle Rd, Camp Hill, PA 17011-4246 |
| Robert Martin | Interventional Pain Management | Penn State Health Community Medical Group, LLC | 2301 Columbia Ave, Lancaster, PA 17603-4154 |
| Danielle J Miller | Family Medicine | Penn State Health Community Medical Group, LLC | 1120 Cocoa Ave, Hershey, PA 17033-1712 |
| Scott R Mann | Family Medicine | Penn State Health Community Medical Group, LLC | 80 Wyntre Brooke Dr, Penn State Med Grp White Rose, York, PA 17403-4535 |
| Frank E Politzer | Interventional Cardiology | Penn State Health Community Medical Group, LLC | One Norwegian Plaza, 302 Penn State Health Medical Group Berks Cardiology, Pottsville, PA 17901 |
| Sarah R White | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2221 Noll Dr, Suite 2000, Lancaster, PA 17603-7610 |
| Street Address |
3045 MARIETTA AVE |
| City | LANCASTER |
| State | PA |
| Zip | 17601-1321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Franklin D Deguzman | Psychiatry | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Lizabeth Potter | Psychiatry | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Theresa A Baker | Clinical Social Worker | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Karen Mcclure-snodgrass | Clinical Psychologist | Teamcare Behavioral Health, LLC | 1808 Colonial Village Lane, Suite 103, Lancaster, PA 17601 |
| Spage Yee | Ophthalmology | 330 Centerville Rd, Lancaster, PA 17601-1326 | |
| Rustin Warren Glass | Chiropractic | 900 Centerville Rd, Suite B, Lancaster, PA 17601-1487 | |
| Kayla Wirth | Physician Assistant | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Robin L Rochow | Physician Assistant | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Stephen Daniel Lockey Iii | Allergy/immunology | Allergy and Asthma Center PC | 2445 Marietta Ave, Lancaster, PA 17601-1942 |
| Carol L St George | Otolaryngology | Lancaster Ear Nose and Throat LLC | 930 Red Rose Ct, Suite 301, Lancaster, PA 17601-1981 |
| Find all physicians in zip 17601 | |||
| City | LANCASTER |
| Zip Code | 17601 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | LANCASTER + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on James Kethledge Fugate Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.