ALEN MUNSON FULLER (NPI# 1164422408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164422408 |
| Entity Type | Individual |
| Full Name | ALEN MUNSON FULLER |
| Credential | M.D. |
| Practice Address |
1725 E 19th St Suite 100 Tulsa OK 74104-5437 |
| Practice Telephone | 9187427376 |
| Practice Fax Number | 9187432117 |
| Mailing Telephone | 9187427376 |
| Mailing Fax Number | 9187432117 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 7801 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1725 E 19TH ST SUITE 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760918122 | Utica Women's Specialists, LLC | Obstetrics & Gynecology | 1725 E 19th St, Suite 401, Tulsa, OK 74104-5437 | 2017-05-04 |
| 1467993857 | Maleah Bloyed | Nurse Practitioner | 1725 E 19th St, Tulsa, OK 74104-5437 | 2017-03-17 |
| 1528502374 | Laura Kathryn Holman | Physician Assistant | 1725 E 19th St, Tulsa, OK 74104-5437 | 2016-12-13 |
| 1285022939 | Melissa A Dietz, Md, LLC | Obstetrics & Gynecology | 1725 E 19th St, Suite 401, Tulsa, OK 74104-5437 | 2015-01-05 |
| 1316343338 | Bryan Henry | Nurse Practitioner | 1725 E 19th St, Suite 202, Tulsa, OK 74104-5437 | 2014-11-18 |
| 1700170636 | Justin Maxwell Stone | Perfusionist | 1725 E 19th St, Suite 604, Tulsa, OK 74104-5437 | 2011-06-08 |
| 1760798490 | Joshua D. Mccann | Pharmacist | 1725 E 19th St, Ste 103, Tulsa, OK 74104-5437 | 2010-08-18 |
| 1487826608 | Drs Karlak and Martin | Internal Medicine | 1725 E 19th St, Suite 602, Tulsa, OK 74104-5437 | 2008-03-27 |
| 1861673493 | Elizabeth Kay Dolin | Internal Medicine | 1725 E 19th St, Suite 200, Tulsa, OK 74104-5437 | 2007-11-26 |
| 1679772719 | Simon A Levit, Md | Internal Medicine | 1725 E 19th St, 703, Tulsa, OK 74104-5437 | 2007-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255687638 | Richmond Jay Brownson | Otolaryngology | 7906 E 55th Street, Tulsa, OK 74145 | 2012-08-03 |
| 1972737641 | Tulsa Only Choice Inc | Otolaryngology | 2705 E Skelly Dr Ste 111, Tulsa, OK 74105-6239 | 2009-05-11 |
| 1497979686 | Tulsa Ear Nose and Throat Center, PC | Otolaryngology | 8803 S 101st East Ave Ste 165, Tulsa, OK 74133-5750 | 2007-04-12 |
| 1134109358 | Michael B Shaw | Otolaryngology | 4230 W 83rd St, Tulsa, OK 74132-3020 | 2006-01-23 |
| 1972593622 | Tom A Hamilton | Otolaryngology | 6802 S Olympia Ave Ste 200, Tulsa, OK 74132-1826 | 2005-10-25 |
| 1154310555 | William H Hawkins | Otolaryngology | 6802 S Olympia Ave W, Suite 200, Tulsa, OK 74132-1823 | 2005-10-18 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1366441115 | Jerry Hanson Puckett | Otolaryngology | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2005-07-14 |
| 1528065331 | Anthony Edward Loehr | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2005-07-07 |
| 1942749080 | Ear, Nose, & Throat, Inc. | Otolaryngology | 2448 E 81st St, Suite 1350, Tulsa, OK 74137-4250 | 2017-02-22 |
| Find all providers in TULSA | ||||
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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.