Active NPI
Peter Edward Fujiwara, MD
- Urology Physician
- Bay City, MI
National Provider Identifier
1275641508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 40301030174
- Practice address
- 2110 Sixteenth St
Bay City, MI 48708-7609 - Phone
- (989) 893-3584
- Fax
- (989) 893-3584
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 40301030174 | MI | Primary |
Addresses
Primary practice location
2110 Sixteenth St
Bay City, MI 48708-7609
Mailing address
2110 Sixteenth St
Bay City, MI 48708-7609
Phone (989) 893-3584
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400903361 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1098628 | Medicaid | MI |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40301030174 | MI | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275641508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 SIXTEENTH ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487087609",
"telephone_number": "989-893-3584",
"fax_number": "989-893-3584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 SIXTEENTH ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487087609",
"telephone_number": "989-893-3584",
"fax_number": "989-893-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJIWARA",
"first_name": "PETER",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "40301030174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3400903361",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1098628",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.