Individual
JOHN S. FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, RI 5960, INDIANAPOLIS, IN 46202-5109
(317) 944-3889
(317) 944-3882
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
01050242
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021333
—
VT
05
—
200212230
—
IN
05
—
2655087
—
OH
05
—
64882921
—
KY
Enumeration date
08/21/2006
Last updated
02/14/2026
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