JOHN ALAN FULLER (NPI# 1003816364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003816364 |
| Entity Type | Individual |
| Full Name | JOHN ALAN FULLER |
| Credential | M.D. |
| Practice Address |
5101 W Memorial Rd Oklahoma City OK 73142-2018 |
| Practice Telephone | 4057529600 |
| Practice Fax Number | 4057529605 |
| Mailing Telephone | 4057529600 |
| Mailing Fax Number | 4057529650 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2012-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 14299 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100824640B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457503468 | John Edward Fuller | Social Worker | 8303 Colesville Rd, Silver Spring, MD 20910-3203 | 2008-10-21 |
| 1205434610 | John Martin Fuller | Pharmacist | 100 Ridge Rd, Versailles, KY 40383-1333 | 2020-10-16 |
| 1720469174 | John Bryant Fuller | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2015-06-11 |
| 1689072241 | John Fuller | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2014-12-15 |
| 1801817267 | John R Fuller | Urology | 500 Vincent St, Stevens Point, WI 54481-1842 | 2006-07-21 |
| 1093754574 | John Fuller | Emergency Medicine | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2006-06-06 |
| Street Address |
5101 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953418 | Angela Kaye Quick | Nurse Practitioner | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 | 2018-12-06 |
| 1184893000 | Karie Leigh Stewart | Nurse Practitioner | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 | 2008-02-25 |
| 1790974103 | Lara Jean Easterwood | Nurse Practitioner | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 | 2007-10-22 |
| 1639211261 | Graciela Gallardo | Family Medicine | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 | 2007-02-12 |
| 1134167455 | Stephen B. Kelly | Family Medicine | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1780201467 | Wesley Vaughan Md, Pllc | Obstetrics & Gynecology | 13921 N Meridian Ave Ste 200, Oklahoma City, OK 73134-1104 | 2020-06-29 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1568917037 | Chris A Lane Do Inc PC | Obstetrics & Gynecology | 4505 Blackberry Run, Oklahoma City, OK 73112-6157 | 2016-08-24 |
| 1710320627 | Hugh Christopher Gardner Nadeau | Obstetrics & Gynecology | 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 | 2013-04-10 |
| 1649613688 | Katherine Ann Smith | Obstetrics & Gynecology | 825 Ne 10th St # 5d, Oklahoma City, OK 73104-5417 | 2013-04-09 |
| 1356602080 | Marta Maxted | Obstetrics & Gynecology | 800 Sl Young Blvd, Aat 2475, Oklahoma City, OK 73104 | 2012-05-29 |
| 1104190479 | Philip J Maguire | Obstetrics & Gynecology | 1124 Nw 50th St, Oklahoma City, OK 73118-4402 | 2012-03-02 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.