Jonathan B Fugitt (NPI# 1588635684, PAC ID# 7214074707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1588635684 |
| PAC ID by PECOS | 7214074707 |
| Professional Enrollment ID | I20091103000207 |
| Full Name | Jonathan B Fugitt |
| Organization Legal Name | PLACERVILLE RADIOLOGY MEDICAL GROUP INC |
| Address |
1100 Marshall Way Placerville CA 95667-6533 |
| Phone Number | 5306221441 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE |
| Group Practice PAC ID | 0143382374 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050254 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Marshall Way, Placerville, CA 95667-6533 | 5306221441 | PLACERVILLE RADIOLOGY MEDICAL GROUP INC |
| Organization Legal Name | PLACERVILLE RADIOLOGY MEDICAL GROUP INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David T Nakamura | Diagnostic Radiology | Placerville Radiology Medical Group Inc | 681 Main St, Suite 105, Placerville, CA 95667-5747 |
| Alexander C Guo | Diagnostic Radiology | Placerville Radiology Medical Group Inc | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Anietie E Okon | Diagnostic Radiology | Placerville Radiology Medical Group Inc | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Richard W Budenz | Diagnostic Radiology | Placerville Radiology Medical Group Inc | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Jerry Arnold | Diagnostic Radiology | Placerville Radiology Medical Group Inc | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Street Address |
1100 MARSHALL WAY |
| City | PLACERVILLE |
| State | CA |
| Zip | 95667-6533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Lu Angelo | Certified Registered Nurse Anesthetist (crna) | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Alexander C Guo | Diagnostic Radiology | Placerville Radiology Medical Group Inc | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Ciprian Barbuta | Certified Registered Nurse Anesthetist (crna) | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Rustam A Blatov | Certified Registered Nurse Anesthetist (crna) | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Sean Anderson | Anesthesiology | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Alisa M Kardell Truman | Certified Registered Nurse Anesthetist (crna) | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Randall H Kerr | Anesthesiology | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Gary L Cutter | Anesthesiology | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Andy M Baum | Certified Registered Nurse Anesthetist (crna) | El Dorado Anesthesia Medical Group | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Ronald Richard Flores | Emergency Medicine | Emergency Medicine Physician Partners of El Dorado County Inc | 1100 Marshall Way, Placerville, CA 95667-6533 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi Mei Van Hoozen | Internal Medicine | 4770 Rocklin Road, Suite 3, Rocklin, CA 95667-3334 | |
| Matthew H Shepherd | Chiropractic | 279 Placerville Dr, Suite C, Placerville, CA 95667-3931 | |
| Esther S Hall | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Charles W Burns | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Beverly Scherf | Clinical Psychologist | 2864 Ray Lawyer Dr, Suite 201, Placerville, CA 95667-3936 | |
| Michael F Liddell | Chiropractic | 2864 Ray Lawyer Dr, Placerville, CA 95667-3938 | |
| Mark Schwartzmeyer | Chiropractic | 640 Placerville Dr, Placerville, CA 95667-4215 | |
| Mandeep Singh | Nephrology | 941 Spring, Suite 2, Placerville, CA 95667-4546 | |
| Dennis J Moore | Chiropractic | 941 Spring St, Suite 1, Placerville, CA 95667-4546 | |
| Terry C Weyl | Psychologist, Clinical | 941 Spring St, Suite 5, Placerville, CA 95667-4546 | |
| Find all physicians in zip 95667 | |||
| City | PLACERVILLE |
| Zip Code | 95667 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PLACERVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jonathan B Fugitt.
| 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.