Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Anthony Fusco, PA-C, MPAS

Individual provider Hospitalist Physician · NPI 1962457010

Mark Anthony Fusco, PA-C, MPAS is a Physician Assistant in Norfolk, Virginia. Qualified in 1994, 32 years ago. Practices with Ingleside Emergency Group LLC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
32
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

110 Kingsley Ln Ste 312
Norfolk, VA 23505-4614
Phone: (757) 354-2885
Fax: (757) 889-5742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981 — (757) 827-2127

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110840582 (VA)
Hospitalist Physician Taxonomy 208M00000X · Licence 0110840582 (VA)

Record details

NPI number1962457010
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Ingleside Emergency Group Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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