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LOREN C FUGLESTAD MD NPI 1669456463


NPI Information

NPI: 1669456463
Provider Name: LOREN C FUGLESTAD, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BELLIN MEMORIAL HOSPITAL INC

PECOS Registration: Yes

Address:
2714 RIVERVIEW DR
GREEN BAY, WI
ZIP 54313
Phone: (920) 430-4760
Get Directions

Loren C Fuglestad, MD is a family medicine in Green Bay, WI with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Loren C Fuglestad, MD NPI is 1669456463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2714 RIVERVIEW DR
GREEN BAY, WI
ZIP 54313-715
Phone: (920) 430-4760

The NPI 1669456463 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Hemoglobin A1C level (HCPCS:83036)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 12/5/2005 and was last updated on 2/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35673WISCONSINYes

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
135673OTHERWISCONSINLICENSE
2073050001MEDICARE OSCAR/CERTIFICATIONWISCONSIN
3P01404701OTHERWISCONSINRAIL ROAD MEDICARE
4000007MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5000107305MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6430800031MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7000002MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8K400120152MEDICARE OSCAR/CERTIFICATIONWISCONSIN
9000012MEDICARE OSCAR/CERTIFICATIONWISCONSIN
10075100103MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11F99323MEDICARE UPINWISCONSIN

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.