Annie Michele Fagundes (NPI# 1891178182, PAC ID# 5496057044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891178182 |
| PAC ID by PECOS | 5496057044 |
| Professional Enrollment ID | I20160113002077 |
| Full Name | Annie Michele Fagundes |
| Organization Legal Name | SIMONIAN SPORTS MEDICINE CLINIC A MEDICAL CORPORATION |
| Address |
729 N Medical Ctr Dr W Suite 101 Clovis CA 93611-6880 |
| Phone Number | 5594397633 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002705522 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050397 | COALINGA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 729 N Medical Ctr Dr W, Suite 101, Clovis, CA 93611-6880 | 5594397633 | SIMONIAN SPORTS MEDICINE CLINIC A MEDICAL CORPORATION |
| 729 N Medical Ctr Dr W, Clovis, CA 93611-6880 | 5594397633 | SIMONIAN SPORTS MEDICINE CLINIC A MEDICAL CORPORATION |
| Organization Legal Name | SIMONIAN SPORTS MEDICINE CLINIC A MEDICAL CORPORATION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noune B Petrosian | Physician Assistant | Simonian Sports Medicine Clinic A Medical Corporation | 729 N Medical Ctr Dr W, Clovis, CA 93611-6880 |
| David Pena | Physician Assistant | Simonian Sports Medicine Clinic A Medical Corporation | 729 N Medical Ctr Dr W, Suite 101, Clovis, CA 93611-6880 |
| Street Address |
729 N MEDICAL CTR DR W SUITE 101 |
| City | CLOVIS |
| State | CA |
| Zip | 93611-6880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Davis | Orthopedic Surgery | University Faculty Associates Inc | 729 N Medical Ctr Dr W, Suite 111, Clovis, CA 93611-6880 |
| Hany M Nasr | Pain Management | Hany Nasr Md Inc | 729 N Medical Ctr Dr W, Suite 201, Clovis, CA 93611-6885 |
| Melissa V Maduell | Physician Assistant | Community Foundation Medical Group | 729 N Medical Ctr Dr W, Suite 101, Clovis, CA 93611-6880 |
| Peter T Simonian | Orthopedic Surgery | Community Foundation Medical Group | 729 N Medical Ctr Dr W, Suite 101, Clovis, CA 93611-6880 |
| Tasha R Cockrum | Physician Assistant | Community Foundation Medical Group | 729 N Medical Ctr Dr W, Suite 101, Clovis, CA 93611-6880 |
| Robert C Kollmorgen | Orthopedic Surgery | University Faculty Associates Inc | 729 N Medical Ctr Dr W, Suite 111, Clovis, CA 93611-6880 |
| Maximino Jesus Brambila | Orthopedic Surgery | University Faculty Associates Inc | 729 N Medical Ctr Dr W, Suite 111, Clovis, CA 93611-6880 |
| Noune B Petrosian | Physician Assistant | Simonian Sports Medicine Clinic A Medical Corporation | 729 N Medical Ctr Dr W, Clovis, CA 93611-6880 |
| David Pena | Physician Assistant | Simonian Sports Medicine Clinic A Medical Corporation | 729 N Medical Ctr Dr W, Suite 101, Clovis, CA 93611-6880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnold Friedman | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 231 W Fir Ave, Clovis, CA 93611-0220 |
| James C Forsythe | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 231 W Fir Ave, Clovis, CA 93611-0220 |
| William Gavril Lauder | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Jeffrey Todd Gardner | Family Medicine | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Mary Beth Yuskavage | Family Medicine | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Curtis L Cookingham | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Jared M Dunn | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Jeffrey M Mueller | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Amy E Shirer | Family Medicine | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Anne Elizabeth Rushing | Nurse Practitioner | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Find all physicians in zip 93611 | |||
| City | CLOVIS |
| Zip Code | 93611 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLOVIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Annie Michele Fagundes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.