Carl L Fugate (NPI# 1326017013, PAC ID# 7517904113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326017013 |
| PAC ID by PECOS | 7517904113 |
| Professional Enrollment ID | I20050414001031 |
| Full Name | Carl L Fugate |
| Organization Legal Name | BELOIT MEDICAL CENTER, P.A. |
| Address |
1005 N Lincoln Beloit KS 67420-1215 |
| Phone Number | 7857382246 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496655169 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171375 | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS |
| Address | Phone | Organization |
|---|---|---|
| 1005 N Lincoln, Beloit, KS 67420-1215 | 7857382246 | BELOIT MEDICAL CENTER, P.A. |
| 903 Morgan Ave, Downs, KS 67437-1625 | 7854543311 | BELOIT MEDICAL CENTER, P.A. |
| Organization Legal Name | BELOIT MEDICAL CENTER, P.A. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kris G Kimple | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Mariah Lindsey Crumbaker | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Jason A Cheney | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Christine M Marozas | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Craig A Concannon | Internal Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Kerri Lynn Adams | Nurse Practitioner | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Martin B Klenda Jr. | General Surgery | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Street Address |
1005 N LINCOLN |
| City | BELOIT |
| State | KS |
| Zip | 67420-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kris G Kimple | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Mariah Lindsey Crumbaker | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Jason A Cheney | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Christine M Marozas | Family Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Craig A Concannon | Internal Medicine | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Kerri Lynn Adams | Nurse Practitioner | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Martin B Klenda Jr. | General Surgery | Beloit Medical Center, P.a. | 1005 N Lincoln, Beloit, KS 67420-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade L Alexander | Certified Registered Nurse Anesthetist (crna) | Mitchell County Hospital Health Systems | 400 W 8th St, Beloit, KS 67420-1605 |
| Jeremy Harpley | Certified Registered Nurse Anesthetist (crna) | Sweet Dreams Anesthesia Inc | 400 W 8th St, Beloit, KS 67420-1605 |
| Robert A Miller | Certified Registered Nurse Anesthetist (crna) | Mitchell County Hospital Health Systems | 400 W 8th St, Beloit, KS 67420-1605 |
| Mark Edward Banker | General Surgery | Mitchell County Hospital Health Systems | 400 W 8th St, Beloit, KS 67420-1605 |
| Leopoldo A Pacheco | Certified Registered Nurse Anesthetist (crna) | Mitchell County Hospital Health Systems | 400 W 8th St, Beloit, KS 67420-1605 |
| Thomas J Owen | Chiropractic | 119 N Mill St, Beloit, KS 67420-2343 | |
| Jacob W Ludwig | Chiropractic | 115 N Mill St, Beloit, KS 67420-2343 |
| City | BELOIT |
| Zip Code | 67420 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BELOIT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Carl L Fugate.
| 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.