ANDREA MARIE FULLERTON (NPI# 1063617587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063617587 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE FULLERTON |
| Credential | MD |
| Practice Address |
1515 S Clifton Ste 400 Wichita KS 67208 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3166361550 |
| Practice Fax Number | 3166899769 |
| Mailing Telephone | 3166899135 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2014-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 046772 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200865920A | 05 | |
| MEDICARE | 003719131 | 01 | |
| OK | OK MEDICAID | 200429620A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598184889 | Andrea Fullerton | Social Worker | 3166 N Lincoln Ave Ste 306, Chicago, IL 60657-3119 | 2014-04-15 |
| Street Address |
1515 S CLIFTON STE 400 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164487294 | James E French | Surgery | 1515 S Clifton, Ste 420, Wichita, KS 67218 | 2006-04-20 |
| 1336468495 | Austin George | Surgery | 1515 S Clifton, Suite 250, Wichita, KS 67218 | 2010-05-27 |
| 1841211109 | Joachim Ernst Schnelle | Family Medicine | 1515 S Clifton, Ste 300, Wichita, KS 67218-2953 | 2006-07-22 |
| 1134187081 | James E French Md | Surgery | 1515 S Clifton, Ste 420, Wichita, KS 67218 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| 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 |
|---|---|---|---|---|
| 1023308939 | Damen Wayne Hershberger | Obstetrics & Gynecology | 9300 E 29th St N Ste 320, Wichita, KS 67226-2184 | 2011-04-12 |
| 1053639807 | Preferred Medical Associates | Obstetrics & Gynecology | 14700 W. St. Teresa, Ste. 370, Wichita, KS 67235-9600 | 2010-05-04 |
| 1659547479 | Lueke B Lueken | Obstetrics & Gynecology | 2760 S Roosevelt St, Wichita, KS 67210-1304 | 2008-05-01 |
| 1073783437 | Veerayyagari Annapurna | Obstetrics & Gynecology | 9300 E 29th St N Ste 201, Wichita, KS 67226-2183 | 2008-03-01 |
| 1417068727 | Victoria W Kindel | Obstetrics & Gynecology | 3232 E Murdock, Wichita, KS 67208-3003 | 2006-08-31 |
| 1821008285 | Michael D Wolfe | Obstetrics & Gynecology | 1515 S Clifton Ave Ste 400, Wichita, KS 67218-2961 | 2006-08-09 |
| 1801814934 | Steven L Zielke | Obstetrics & Gynecology | 5109 W Wavecrest Cir, Wichita, KS 67205-1322 | 2006-07-17 |
| 1699709923 | Women's Medcenter, Pa | Obstetrics & Gynecology | 223 S Hillside St, Wichita, KS 67211-2128 | 2006-07-11 |
| 1700840550 | Valerie Elizabeth Drake-albert | Obstetrics & Gynecology | 1855 N Webb Rd, Wichita, KS 67206-3413 | 2006-04-17 |
| 1992700710 | Michael D Bates | Obstetrics & Gynecology | 9300 E 29th St N, Ste 201, Wichita, KS 67226-2183 | 2005-06-17 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on ANDREA MARIE FULLERTON.
| 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.