DR. JEFFREY STEPHEN FUGATE DO NPI 1811990054

NPI Information

NPI: 1811990054
Provider Name: DR. JEFFREY STEPHEN FUGATE, DO
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
2808 OLD POST ROAD
HARRISBURG, PA
ZIP 17110
Phone: (717) 920-4400
Get Directions

DR. Jeffrey Stephen Fugate, DO is a cardiovascular disease internal medicine in Harrisburg, PA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jeffrey Stephen Fugate, DO NPI is 1811990054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2808 OLD POST ROAD
HARRISBURG, PA
ZIP 17110-685
Phone: (717) 920-4400
Fax: (717) 920-4401

The enumeration date for this NPI number is 5/23/2005 and was last updated on 7/27/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		OS003906L	PENNSYLVANIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	OS003906L	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B36786	MEDICARE UPIN	PENNSYLVANIA
2	060012835	OTHER		RAILROAD MEDICARE
3	109256	MEDICARE PIN	PENNSYLVANIA
4	000845786	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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