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DR. MARK W. FUGATE M.D. NPI 1124227459


NPI Information

NPI: 1124227459
Provider Name: DR. MARK W. FUGATE, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: MEMORIAL HEALTH CARE SYSTEM INC.

PECOS Registration: Yes

Address:
2501 CITICO AVE
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 697-2000
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DR. Mark W. Fugate, M.D. is a vascular surgery surgery in Chattanooga, TN with 22 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Mark W. Fugate, M.D. NPI is 1124227459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

2501 CITICO AVE
CHATTANOOGA, TN
ZIP 37404-127
Phone: (423) 697-2000
Fax: (423) 697-2320

The NPI 1124227459 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

The enumeration date for this NPI number is 7/17/2007 and was last updated on 6/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD44206TENNESSEENo
22086S0129XSurgeryVascular Surgery44206TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11515384MEDICAIDTENNESSEE
2163534MEDICAIDALABAMA
3P00741318OTHERRR MEDICARE
44230402OTHERTENNESSEEBCBS
5540820812AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.