Lori Fuquay (NPI# 1407990872, PAC ID# 9335289917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407990872 |
| PAC ID by PECOS | 9335289917 |
| Professional Enrollment ID | I20120105000488 |
| Full Name | Lori Fuquay |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
601 Hwy 110 N Suite O Whitehouse TX 75791-3037 |
| Phone Number | 9038391775 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 | 9038391775 | ETMC PHYSICIAN GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 93% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 95% |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
| Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
| Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
| Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
| Michael Jason Chastant | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
| John G Pogue | Psychiatry | Etmc Physician Group, Inc. | 4101 University Blvd, Tyler, TX 75701-6623 |
| Street Address |
601 HWY 110 N SUITE O |
| City | WHITEHOUSE |
| State | TX |
| Zip | 75791-3037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michal M Phillips | Family Medicine | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Earl Patirck Wright | Family Practice | 15632 Hwy 110 S, Whitehouse, TX 75791-0693 | |
| William L Bryant | Optometry | East Texas Eye Care Associates LLC | 608 S Palestine, Athens, TX 75791-2147 |
| Cheryl D Layne | Nurse Practitioner | 504 State Hwy 110 N, Whitehouse, TX 75791-3040 | |
| Renata Peyreau | Nurse Practitioner | 15632 State Hwy 110 S, Suite 19, Whitehouse, TX 75791-5524 |
| City | WHITEHOUSE |
| Zip Code | 75791 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WHITEHOUSE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori Fuquay.
| 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.