Colony S Fugate, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3923 Issued in OK

Practice address

717 S Houston Ave FL 4
Tulsa, OK 74127-9023

Phone

(918) 382-4600

Fax

(918) 382-3183

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfugate50989@direct.saintfrancis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oklahoma State University

  dba OSU Speech-Language-Hearing Clinic

  • Speech-Language Pathologist
  • Stillwater, OK
  • NPI 1700994878
  Medicare reassignment NPD
• Oklahoma State University

  dba OSU Physicians

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1306882261

  Pediatrics

  NPD
• Oklahoma State University

  dba OSU Physicians Clinical Laboratory

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1326495433
  NPD
• Oklahoma State University Medical Trust

  dba Oklahoma State University Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  NPD (past)
• State of Oklahoma

  dba Oklahoma State Department of Health

  • Public Health or Welfare Agency
  • Oklahoma City, OK
  • NPI 1184891525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1073619425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE FL 4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-4600",
            "fax_number": "918-382-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE FL 4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-4600",
            "fax_number": "918-382-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "COLONY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200035440B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Conville Fucci, MD
• Mei-Chien Huang Fucci, M.D.
• Angela Joann Fuentes, CRNA
• Kianna Fuentes
• Joseph M Fugaro, MD
• Cynthia Anne Fugatt
• Sarah Rose Fugett
• Bernard Chin-Wei Fuh, D.C.
• Lauren Fuhr, DO
• Taylor Fulbright

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.