Active NPI
Gene Fioretti, M.D.
- Interventional Cardiology Physician
- Poplar Bluff, MO
National Provider Identifier
1689620635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 119233
- Practice address
- 2360 Katy LN
Poplar Bluff, MO 63901-2300 - Phone
- (573) 686-3937
- Fax
- (573) 686-3958
- NPI assigned
- May 25, 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 119233 | MO | Primary |
Addresses
Primary practice location
2360 Katy LN
Poplar Bluff, MO 63901-2300
Mailing address
2210 Barron Rd
Poplar Bluff, MO 63901-1908
Phone (573) 686-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204647713 | Medicaid | MO | |
| 1689620635 | Medicaid | WY |
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 |
|---|---|---|---|
| Heartcare Midwest | Past | Accepting new patients | |
| Poplar Bluff Hma Physician Management, LLC | Interventional Cardiology | Past | Accepting new patients |
| Heartcare Midwest , LTD | Past | Accepting new patients | |
| DLP Conemaugh Meyersdale Medical Center LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
Interventional Cardiology
-
- Critical Access Hospital
- Meyersdale, PA
- NPI 1659376358
-
- Rural Acute Care Hospital
- Bloomington, IL
- NPI 1477782845
-
- Cardiovascular Disease Physician
- Peoria, IL
- NPI 1720023179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1689620635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 BARRON RD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011908",
"telephone_number": "573-686-3937",
"fax_number": "573-686-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 KATY LN",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012300",
"telephone_number": "573-686-3937",
"fax_number": "573-686-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORETTI",
"first_name": "GENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "119233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204647713",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689620635",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.