Penni L Fuqua (NPI# 1710944863, PAC ID# 6002898988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL NURSE SPECIALIST.
| Nation Provider ID (NPI) | 1710944863 |
| PAC ID by PECOS | 6002898988 |
| Professional Enrollment ID | I20040611000692 |
| Full Name | Penni L Fuqua |
| Organization Legal Name | HEDGEHOG PSYCHIATRIC |
| Address |
1424 E 91st St Indianapolis IN 46240-1902 |
| Phone Number | 3177093365 |
| Gender | F |
| Credential | CNS |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL NURSE SPECIALIST |
| Group Practice PAC ID | 7214919182 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150005 | HENDRICKS REGIONAL HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1424 E 91st St, Indianapolis, IN 46240-1902 | 3177093365 | HEDGEHOG PSYCHIATRIC |
| Organization Legal Name | HEDGEHOG PSYCHIATRIC |
| Physicians | 1 |
| Street Address |
1424 E 91ST ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46240-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunitha Thirumala | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Daljeet K Trehan | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Logan J Popp | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Sneha Milan Patel | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Jordan Lakes | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Michelle A Whitehouse | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Stacy Leigh Mehaffey | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Yasser G El Kalla | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Indianapolis, IN 46240-1437 |
| George B Smith | Clinical Social Worker | 70 E 91st St, 110 Clinical Counseling Services, Indianapolis, IN 46240-1550 | |
| Debbie Kay Preston | Physical Therapy | 70 E 91st St, 101 Balanced Back and Body Therapy LLC, Indianapolis, IN 46240-1550 | |
| Find all physicians in zip 46240 | |||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
| Specialty | CLINICAL NURSE SPECIALIST |
| City + Specialty | INDIANAPOLIS + CLINICAL NURSE SPECIALIST |
Please comment or provide details below to improve the information on Penni L Fuqua.
| 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.