SHAWN SHADELL FUGATE (NPI# 1609813807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609813807 |
| Entity Type | Individual |
| Full Name | SHAWN SHADELL FUGATE |
| Credential | M.D. |
| Practice Address |
313 S Cherry St Pineville KY 40977-1724 |
| Mailing Address |
526 W Kentucky Ave Pineville KY 40977-1343 |
| Practice Telephone | 6066543338 |
| Practice Fax Number | 6066542273 |
| Mailing Telephone | 6063373223 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26778 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64267784 | 05 | |
| KY | BLUE CROSS | 000000068941 | 01 |
| Street Address |
313 S CHERRY ST |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897675 | Andrea Kaye Collins | Nurse Practitioner | 313 S Cherry St, Pineville, KY 40977-1724 | 2019-08-21 |
| 1588937098 | Childrens Advocacy Center of Bell County | Community/Behavioral Health | 313 S Cherry St, Pineville, KY 40977-1724 | 2012-02-14 |
| 1952693087 | Alice Faye Ward | Nurse Practitioner | 313 S Cherry St, Pineville, KY 40977-1724 | 2011-05-09 |
| 1619016946 | Horizon Adult Health Care LLC | Case Management | 313 S Cherry St, Pineville, KY 40977-1701 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487046835 | Louisiana Quick Care LLC | Family Medicine | 12805 Highway 28 E Ste B, Pineville, LA 71360-0734 | 2015-02-23 |
| 1013204734 | Joanna Marie Adkins Bailey | Family Medicine | 585 Appalachian Highway, Pineville, WV 24874-0430 | 2011-07-01 |
| 1720264427 | Hugh D Washburn | Family Medicine | 7521 Highway 28 E, Pineville, LA 71360-9733 | 2008-01-14 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1053488288 | Jonathan S Forester | Family Medicine | 2809 Donahue Ferry Rd, Pineville, LA 71360 | 2006-11-30 |
| 1376645820 | Uzvaltha Ganji | Family Medicine | 2495 Shreveport Hwy # Hwy.71north, Medical Cervise 111, Pineville, LA 71360-4044 | 2006-09-04 |
| 1366550279 | Dominador Yti Lao | Family Medicine | Rt 10 Appalachain Hwy. East Pineville, Pineville, WV 24874-1274 | 2006-08-29 |
| 1225067317 | Family Healthcare Associates Inc | Family Medicine | 113 Main Ave, Pineville, WV 24874-1650 | 2006-07-01 |
| 1295763928 | William Jackson Defee IIi | Family Medicine | 5507 Shreveport Hwy, Pineville, LA 71360-3533 | 2006-06-29 |
| 1063464006 | James Edwards Wallace Jr. | Family Medicine | 1135 Expressway Dr, Suite 200 A, Pineville, LA 71360-6698 | 2006-05-17 |
| Find all providers in PINEVILLE | ||||
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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.