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Deactivated NPI 1497845242 Deactivated / Inactive NPI Male Practitioner

Dr. Faustino Pugeda , MD

Surgery • Marion, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Faustino Pugeda has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date July 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Faustino Pugeda, MD was a registered Surgery practicing in Marion, IL. Throughout an active medical career spanning 16 years, Dr. Pugeda provided care at the practice location at 2401 W MAIN ST until profile deactivation on 2022-07-06.

Practice Location & Contact Primary Location

Practice Address

2401 W Main St

Marion, IL 629591188

Telephone 6189975311
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1750349429

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.7 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Marion, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jenny Armendarez

Technician - Attendant Care Provider

NPI 1003467481
NPI 1003672486

REGISTEREDNURSE

Tameeka Marvin

Registered Nurse

NPI 1013613397
Bobbie Emery , RN

Registered Nurse - Ambulatory Care

NPI 1013615806

Registered Nurse

Lesli Noto , RN

Registered Nurse - Oncology

NPI 1013616770

Registered Nurse

Adrienne Franks

Registered Nurse

NPI 1013617604

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 06, 2022

Record deactivated on July 06, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189975311)

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Updated Business Mailing Address July 08, 2007

Registered at 410 BAINBRIDGE RD, MARION, IL 629591314 (Tel: 6189974721)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FAUSTINO PUGEDA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery

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Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497845242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: July 08, 2007
Deactivation Date: July 06, 2022

Mailing Address

410 Bainbridge Rd

Marion, IL 629591314

Phone: 6189974721

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.