Individual
JONATHAN BRETT FUGITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 MARSHALL WAY, MARSHALL MEDICAL CENTER, PLACERVILLE, CA 95667
(530) 626-2774
(509) 248-0178
Mailing address
681 MAIN STREET, STE 105, PLACERVILLE, CA 95667
(530) 626-1166
(530) 626-3826
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A85990
CA
2085N0700X
Neuroradiology Physician
A85992
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A85990
CA
2085R0202X
Diagnostic Radiology Physician
MD60491574
WA
2085U0001X
Diagnostic Ultrasound Physician
A85990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0053460
—
CA
Enumeration date
01/28/2006
Last updated
12/27/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us