Kenneth K. Fugate, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD039731L Issued in PA

Legal business name

KENNETH K. FUGATE, M.D.

Practice address

525 N Main St
Punxsutawney, PA 15767-2581

Phone

(814) 938-7933

Fax

(814) 938-3299

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth K Fugate, MDNPI 1376530386

Title

Owner

Phone

(814) 938-7933

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth K Fugate, M.D.

  • Internal Medicine Physician
  • Punxsutawney, PA
  • NPI 1376530386

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1750320628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672581",
            "telephone_number": "814-938-7933",
            "fax_number": "814-938-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672581",
            "telephone_number": "814-938-7933",
            "fax_number": "814-938-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH K. FUGATE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "FUGATE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-938-7933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039731L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "126846",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Rezk
• Lisa M Kalberer, RPH
• Alyssa Kallenbaugh, OTD, OTR/L
• Kamal Khalaf M.D.
• Aaron David Kendrick, MD
• Joseph J. Kernich, M.D.
• Nickolas Alan Kernich, PHARMD
• Kayla Rosemary Kerr, PA-C
• Janet Marie Keslar, CRNP
• Jennifer Keslar, CRNP

• All providers in Punxsutawney, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.