Michelle L Fugitt DO PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4255 Issued in OK

Legal business name

MICHELLE L FUGITT DO PLLC

Practice address

1615 S Eucalyptus Ave
Suite 210
Broken Arrow, OK 74012-5990

Phone

(918) 392-7606

Fax

(918) 392-7607

NPI assigned

Jul 21, 2006

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Lynn Fugitt, D.O.NPI 1700845005

Title

DO/ Owner

Phone

(918) 392-7606

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Fugitt, D.O.

  • Internal Medicine Physician
  • Broken Arrow, OK
  • NPI 1700845005
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1861413510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S EUCALYPTUS AVE",
            "address_2": "SUITE 210",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125990",
            "telephone_number": "918-392-7606",
            "fax_number": "918-392-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S EUCALYPTUS AVE",
            "address_2": "SUITE 210",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125990",
            "telephone_number": "918-392-7606",
            "fax_number": "918-392-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L FUGITT DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "FUGITT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DO/ OWNER",
        "authorized_official_telephone_number": "918-392-7606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Internal Medicine Physician in Oklahoma

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

Verify at the official NPI Registry.