LEONARDO G FUGOSO JR. (NPI# 1538358098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538358098 |
| Entity Type | Individual |
| Full Name | LEONARDO G FUGOSO JR. |
| Credential | MD |
| Practice Address |
733 W Clairemont Ave Eau Claire WI 54701-6101 |
| Mailing Address |
1400 Bellinger St Eau Claire WI 54703-5222 |
| Practice Telephone | 7158385222 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
60170 | WI | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
002949 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1538358098 | 05 |
| Street Address |
733 W CLAIREMONT AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297132 | Julie L. Barneson | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2005-07-01 |
| 1013569722 | Jessica Jo Day | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2019-07-12 |
| 1649735259 | Rachel S Pierce | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2019-02-07 |
| 1295217776 | Forrest Jeffrey Delikowski | Physician Assistant | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2018-08-31 |
| 1093292849 | Jenny Ga-yee Lau | Optometrist | 733 W Clairemont Ave, Eau Claire, WI 54701 | 2018-07-24 |
| 1588158612 | Logan Brunner | Optometrist | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2018-06-21 |
| 1245743376 | Anna L Hiess | Physical Therapist | 733 W Clairemont Ave, Eau Claire, WI 54701 | 2017-11-11 |
| 1700301074 | Sarah Lundblad Medrano | Registered Nurse | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2017-08-08 |
| 1689105637 | Brandon Harry Hidaka | Family Medicine | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2017-03-22 |
| 1578001368 | Alicia Dean | Social Worker | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2017-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609988310 | Jon P Konzen | Psychiatry & Neurology | 950 W Clairemont Ave, Suite B, Eau Claire, WI 54701-6176 | 2006-08-31 |
| 1326441841 | Chippewa Valley Neuromonitoring, LLC | Psychiatry & Neurology | 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 2014-09-29 |
| 1508184755 | Scott D Spritzer | Psychiatry & Neurology | 1221 Whipple St, Eau Claire, WI 54703 | 2010-05-12 |
| 1306987771 | Chippewa Valley Neurosciences,llc | Psychiatry & Neurology | 950 W Clairemont Ave, Suite B, Eau Claire, WI 54701-6176 | 2007-02-09 |
| 1629179221 | Sharat Ahluwalia | Psychiatry & Neurology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-09-26 |
| 1073532396 | Anna W Cothron | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-07-18 |
| 1962453704 | Adriana A Kori | Psychiatry & Neurology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-05-15 |
| 1013980838 | David Andrew Nye | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-10 |
| 1639142623 | Rae Richard Hanson | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-09 |
| 1093788515 | Donn David Dexter | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-08 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.