Derrell Anthony Fuqua Sr., CDCA
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2019
- Practice address
- 4200 N Main St, Dayton, OH 45405
- Practice phone
- Call (214) 379-3300
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Medmark Treatment Centers Dayton
Behavioral health practice · Dayton, Ohio
Find Derrell Fuqua's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Derrell Anthony Fuqua Sr. is an addiction (substance use disorder) counselor in Dayton, Ohio
Derrell Fuqua practices at Medmark Treatment Centers Dayton in Dayton, Ohio.
Derrell Fuqua's NPI, 1780158444, was assigned on January 16, 2019. Derrell Fuqua holds Ohio license 169214.
- NPI
- 1780158444NPI Registry (opens in a new tab)
- NPI enumeration date
- January 16, 2019
- NPI status
- Active
- Practice phone
- (214) 379-3300
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Derrell Anthony Fuqua Sr. practices at Medmark Treatment Centers Dayton in Dayton, Ohio
Derrell Fuqua's primary practice is Medmark Treatment Centers Dayton, at 4200 N Main St, Dayton, OH 45405. The practice phone is (214) 379-3300.
- Medmark Treatment Centers Dayton4200 N Main St, Dayton, OH 45405Phone(214) 379-3300
Source: Dmand AI Affiliation Data
Derrell Anthony Fuqua Sr. is affiliated with 1 site of care and 1 medical group
Derrell Fuqua's primary practice is Medmark Treatment Centers Dayton in Dayton, Ohio. The medical group on file is AppleGate Recovery Huber Heights.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Derrell Anthony Fuqua Sr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Derrell Fuqua practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Medmark Treatment Centers Dayton | Available with a free account |
Source: Dmand AI Technology Install Data
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Derrell Anthony Fuqua Sr. is one of 1,920 addiction (substance use disorder) counselors in Ohio
Counselor is Derrell Fuqua's primary specialty in the NPI Registry, under taxonomy code 101YA0400X. The record also lists addiction (substance use disorder). Derrell Fuqua is licensed in Ohio.
Specialties and state licenses
- Addiction (substance use disorder) counselor, OhioPrimary
Addiction (substance use disorder) counselors near Derrell Fuqua
Counts of addiction (substance use disorder) counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Derrell Anthony Fuqua Sr.'s patients have a median age of 42
Across all payers, Dmand AI patient panel data puts Derrell Fuqua's median patient age at 42, with 51% women.
Derrell Fuqua's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 42
Patient panel by sex, all payers
- Women51%
- Men49%
Source: Dmand AI Patient Panel Data
Sources for Derrell Anthony Fuqua Sr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Derrell Anthony Fuqua Sr.
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What is Derrell Anthony Fuqua Sr.'s NPI number?
Derrell Anthony Fuqua Sr.'s NPI number is 1780158444. It was assigned on January 16, 2019, and it is active in the NPI Registry.
What does Derrell Anthony Fuqua Sr. specialize in?
Derrell Anthony Fuqua Sr. is an addiction (substance use disorder) counselor in Dayton, Ohio. The primary specialty in the NPI Registry is Addiction (Substance Use Disorder) Counselor (taxonomy code 101YA0400X).
Where does Derrell Anthony Fuqua Sr. practice?
Derrell Fuqua practices at 4200 N Main St, Dayton, OH 45405. Derrell Fuqua's primary practice is Medmark Treatment Centers Dayton in Dayton, Ohio.
What is Derrell Anthony Fuqua Sr.'s office phone number?
The practice phone on file for Derrell Fuqua is (214) 379-3300.
What is Derrell Anthony Fuqua Sr.'s medical license number?
Derrell Fuqua holds Ohio license 169214.
What medical group is Derrell Anthony Fuqua Sr. part of?
Derrell Fuqua is linked to AppleGate Recovery Huber Heights.
How long has Derrell Anthony Fuqua Sr. been practicing?
Derrell Fuqua's NPI was assigned in 2019.
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