DOUGLAS CHARLES FULLERTON (NPI# 1174937304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174937304 |
| Entity Type | Individual |
| Full Name | DOUGLAS CHARLES FULLERTON |
| Practice Address |
435 E 70th St Apt 9f New York NY 10021-5341 |
| Practice Telephone | 3478750165 |
| Mailing Telephone | 3478750165 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 608702 | NY | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 608702 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831253863 | Douglas B Fullerton | Family Medicine | 6250 Regional Plz, Suite 1010, Abilene, TX 79606-5262 | 2006-12-21 |
| Street Address |
435 E 70TH ST APT 9F |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
| 1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
| 1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
| 1407390081 | Santiago Mercado | Nurse Anesthetist, Certified Registered | 53 Hamilton Ter Apt 35, New York, NY 10031-6437 | 2016-12-15 |
| 1144778630 | Andrew Smith | Nurse Anesthetist, Certified Registered | 622 West 168th Street, New York, NY 10032 | 2016-09-14 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1790133874 | Aliza Rosenblum Wolfe | Nurse Anesthetist, Certified Registered | 88 Bleecker St, Apt 3j, New York, NY 10012-1544 | 2016-05-30 |
| 1346603115 | Melissa Fields | Nurse Anesthetist, Certified Registered | 309 W 30th St, 2e, New York, NY 10001-2700 | 2016-03-30 |
| 1184081010 | Zachary Lewter | Nurse Anesthetist, Certified Registered | 265 E 66th St Apt 6d, New York, NY 10065-6405 | 2016-01-22 |
| 1144608258 | Bryce Wyndham Gregg | Nurse Anesthetist, Certified Registered | 132 Crosby St, Apt 11e, New York, NY 10012-3351 | 2015-05-08 |
| Find all providers in NEW YORK | ||||
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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.