Michael Ryon Fuqua, CNIM

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

214 Centerview Dr Ste 100
Brentwood, TN 37027-5274

Phone

(615) 345-5400

NPI assigned

Mar 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1356872162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 W 56TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022109",
            "telephone_number": "720-236-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CENTERVIEW DR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275274",
            "telephone_number": "615-345-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "MICHAEL",
        "middle_name": "RYON",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Fu, OTR/L
• Tianhong Fu
• Alisha Fujita, DO
• Hayley Elizabeth Fuller, OTD, OTR/L
• Tanar Fulton
• Scott Furstenau, CNIM
• Ashley Danielle Fussell
• Fernanda Dib Gabriel
• Lindsay Gainey
• Mason Gale

• Surgical Technologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Surgical Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.