Active NPI
Carson Blake Schug, M.D.
- Emergency Medicine Physician
- Fresno, CA
National Provider Identifier
1629019294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G47790
- Practice address
- 7300 N Fresno St
Fresno, CA 93720-2941 - Phone
- (559) 448-4500
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G47790 | CA | Primary |
Addresses
Primary practice location
7300 N Fresno St
Fresno, CA 93720-2941
Mailing address
7300 N Fresno St
Fresno, CA 93720-2941
Phone (559) 448-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G477900 | Medicaid | CA | |
| G47790 | Other | BC OF CA | |
| 00G477900 | Other | BS OF CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Agnes Medical Center | Current | Accepting new patients |
Locations
7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1629019294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202941",
"telephone_number": "559-448-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202941",
"telephone_number": "559-448-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUG",
"first_name": "CARSON",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G47790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G477900",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF CA",
"identifier": "G47790",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF CA",
"identifier": "00G477900",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.