Active NPI
Margaret B Holmes, P.A.-C.
- Surgical Physician Assistant
- Lake Havasu City, AZ
National Provider Identifier
1104895655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1445
- Practice address
- 1720 Mesquite Ave
Suite 102
Lake Havasu City, AZ 86403-5602 - Phone
- (925) 854-3333
- Fax
- (928) 854-3335
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1445 | AZ | Primary |
Addresses
Primary practice location
1720 Mesquite Ave
Suite 102
Lake Havasu City, AZ 86403-5602
Mailing address
PO Box 27340
Phoenix, AZ 85061-7340
Phone (602) 943-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135758 | Medicaid | AZ |
Other names 1
- Margaret B Fugel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1445 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc H. Zimmerman, M.D.P.C. | Past | Accepting new patients | |
| Tri-State Orthopedic Institute, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Lake Havasu City, AZ
- NPI 1861462608
-
- Orthopaedic Surgery Physician
- Bullhead City, AZ
- NPI 1518932094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1104895655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27340",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850617340",
"telephone_number": "602-943-9200",
"fax_number": "602-216-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 MESQUITE AVE",
"address_2": "SUITE 102",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035602",
"telephone_number": "925-854-3333",
"fax_number": "928-854-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "MARGARET",
"middle_name": "B",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "1445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135758",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "FUGEL",
"middle_name": "B",
"credential": "P.A.-C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.