MEDICARE: MICHAEL J. FUCCI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0901X	Otology & Neurotology Physician	26456	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1089172010	OTHER	AZ	CIGNA NUMBER
2	520660	OTHER	AZ	AHCCCS
3	1Z0832	OTHER	AZ	HEALTHNET NUMBER
4	1000104	OTHER	AZ	UNITED HEALTH CARE NUMBER
5	4292122	OTHER	AZ	AETNA NUMBER
6	AZ0876560	OTHER	AZ	BCBS NUMBER

General Provider Information

NPI Number	:	1174510556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J. FUCCI M.D.

Provider Business Mailing Address
First Line	:	9097 E DESERT COVE AVE STE 200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6280
Country	:	US
Telephone Number	:	480-273-8510
Fax Number	:	480-214-9933

Provider Business Practice Location Address
First Line	:	225 S. DOBSON RD.
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224
Country	:	US
Telephone Number	:	480-558-5306
Fax Number	:	480-558-5307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	07/28/2020

Similar Medicare Providers

1407052236 — ADAM CASSIS MD
Practice Location Address:

225 S DOBSON RD
CHANDLER, AZ
85224-6274

Practice Phone: 480-558-5306
Practice Fax: 480-558-5307

1356344022 — KEVIN X MCKENNAN MD
Practice Location Address:

1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA
95815-4314

Practice Phone: 916-736-3408
Practice Fax: 916-233-4171

1710989082 — DR. JOHN MARTIN LASAK M.D.
Practice Location Address:

9350 E CENTRAL AVE
WICHITA, KS
67206-2555

Practice Phone: 316-686-6608
Practice Fax: 316-686-3624

1194727453 — DR. THOMAS C KRYZER JR. M.D.
Practice Location Address:

9350 E CENTRAL AVE
WICHITA, KS
67206-2555

Practice Phone: 316-686-6608
Practice Fax: 316-686-3624

1427053370 — DR. JOHN CHUN-LU CHANG MD
Practice Location Address:

757 NORLAND AVENUE , SUITE 203
CHAMBERSBURG, PA
17201-4231

Practice Phone: 717-217-6870
Practice Fax: 717-217-6945

1902801988 — DR. JAMES TURNER WRIGHT MD
Practice Location Address:

3118 CENTER POINTE DRIVE
EDINBURG, TX
78539

Practice Phone: 956-688-8056
Practice Fax: 956-688-8066

Directions to “ MICHAEL J. FUCCI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.