National Provider Identifier Database

JONATHAN B FUGITT, MD – NPI #1588635684
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JONATHAN B FUGITT, MD
1100 MARSHALL WAY
MARSHALL MEDICAL CENTER
PLACERVILLE, CA95667
Phone: 530-626-2774
Fax: 509-248-0178
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X

* Indicates primary specialty

NPI Profile & details for JONATHAN B FUGITT

NPI Number 1588635684
Credentials MD
Entity Individual
Enumeration date 01/28/2006
Last updated 12/27/2016 - About 9 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A85990
  • CA License #: A85992
  • WA License #: MD60491574
  • CA Medicaid: GR0053460
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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