Mary Lee Fugina, M.D. S.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Practice address

450 W Highway 22
Barrington, IL 60010-7509

Phone

(847) 381-9600

NPI assigned

Jul 14, 2005

Reactivated

Mar 24, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mfugina236223@direct.myadvocateaurora.org

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1447259205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142828",
            "telephone_number": "847-967-8098",
            "fax_number": "847-967-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HIGHWAY 22",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107509",
            "telephone_number": "847-381-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGINA",
        "first_name": "MARY",
        "middle_name": "LEE",
        "credential": "M.D. S.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-10-24",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph G Frank, DO
• Jeffrey H Freihage, M.D.
• Patricia Ann French, LCPC, CADC
• Sharon Kay Fu, LPC
• Janay Fuentes
• Vidhi Srivastava Gadson, M.D.
• Gail Gagnon, D.O.
• Penney Jo Gainer, APRN, FNP-BC
• Kelsey Leigh Gallagher
• Elisa S. Gallo, M.D.

• Anesthesiology Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.