SHAWN LEE FULTZ (NPI# 1184728867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184728867 |
| Entity Type | Individual |
| Full Name | SHAWN LEE FULTZ |
| Credential | M.D., M.P.H. |
| Practice Address |
810 Vermont Ave Nw Opheh - 13 Washington DC 20420-0001 |
| Mailing Address |
2039 New Hampshire Ave Nw #104 Washington DC 20009-3414 |
| Practice Telephone | 2022738715 |
| Practice Fax Number | 2022739078 |
| Mailing Telephone | 2022894938 |
| Mailing Fax Number | 2022739078 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD071809L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
810 VERMONT AVE NW OPHEH - 13 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20420-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193042 | Erica Michelle Scavella | Internal Medicine | 810 Vermont Ave Nw, Office of The Medical Inspector (10mi), Washington, DC 20420-0001 | 2005-09-02 |
| 1619539285 | Ronald D Ruble Jr. | Specialist | 810 Vermont Ave Nw, Washington, DC 20420-0001 | 2019-07-03 |
| 1518324425 | Ashley Chamberlin | Dietitian, Registered | 810 Vermont Ave Nw, Washington, DC 20420-0001 | 2016-01-22 |
| 1356710594 | Department of Veterans Affairs | Public Health or Welfare | 810 Vermont Ave Nw, Washington, DC 20420-0001 | 2015-09-17 |
| 1386076784 | Lynn Henselman | Audiologist | 810 Vermont Ave Nw, Washington, DC 20420-0001 | 2013-08-07 |
| 1518266550 | Risa Claytor | Surgery | 810 Vermont Ave Nw, Suite 135, Washington, DC 20420-0001 | 2011-03-16 |
| 1295051704 | Victoria Jane Davey | Registered Nurse | 810 Vermont Ave Nw, Washington, DC 20420-0001 | 2010-04-09 |
| 1447409313 | John David Daigh Jr. | Psychiatry & Neurology | 810 Vermont Ave Nw, Office of Healthcare Inspections 54, Washington, DC 20420-0001 | 2008-09-15 |
| 1215199948 | Vicki A Milton | General Practice | 810 Vermont Ave Nw, Washington, DC 20420-0001 | 2008-06-25 |
| 1285891903 | Michael A Valentino | Pharmacist | 810 Vermont Ave Nw, Washington, DC 20420-0001 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699928010 | Bradley Karlin | Psychologist | 810 Vermont Avenue, Nw, Veterans Affairs Central Office - Ofc of Mental Health, Washington, DC 20420 | 2008-10-29 |
| 1821135930 | Gary Irving Reynolds | Internal Medicine | 1800 G St Nw, Washington, DC 20420 | 2007-01-30 |
| 1801827316 | Robert T Frame | Dentist | 810 Vermont Ave, Vaco Office of Dentistry (112d), Washington, Dc, DC 20420 | 2006-07-05 |
| 1225385776 | Lourdes San Pedro | Social Worker | 50 Irving St Nw, Social Work Service, Washington Dc, DC 20420 | 2012-08-14 |
| 1700954328 | Louis Eugene Cobuzzi | Pharmacist | Department of Veterans Affairs, 810 Vermont Ave, Nw Room 968, Washington, DC 20420 | 2006-12-01 |
| 1598025660 | Aaron Ira Schneiderman | Registered Nurse | 810 Vermont Ave Nw # 10p3a, Washington, DC 20420-0001 | 2012-05-23 |
| 1841597937 | Charlotte Karen Jeans | Registered Nurse | 810 Vermont Ave Nw # 12, Washington, DC 20420-0001 | 2011-02-25 |
| 1447400452 | Pamela Rollins Hirsch | Nurse Practitioner | 811 Vermont Ave Nw, Washington, DC 20420-0001 | 2008-09-26 |
| 1942483516 | Judy Ann Logeman | Registered Nurse | Department of Veterans Affairs-va Central Office, 810 Vermont Avenue, Nw, Washington, DC 20420-0001 | 2007-12-06 |
| 1437331576 | Kenneth Craig Hyams | Internal Medicine | Va Central Office, 810 Vermont Avenue Nw, Washington, DC 20420-0001 | 2007-11-30 |
| Find all providers in zip 20420 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1992351399 | Richard Senzer Md LLC | Internal Medicine | 279 State Route 31 S Ste 1, Washington, NJ 07882-4099 | 2019-08-13 |
| 1336700160 | Northrium Health LLC | Internal Medicine | 1673 K Street #300 Nw, Washington, DC 20006 | 2019-06-24 |
| 1780158873 | Clinicians In Telemedicine LLC | Internal Medicine | 1678 Beeman Rd, Washington, WV 26181-5360 | 2019-01-11 |
| 1669942983 | It Hospitalist Services | Internal Medicine | United Medical Center, 1310 Southern Ave., Se, Washington, DC 20032-4623 | 2018-11-29 |
| 1619447380 | Michael Waters | Internal Medicine | 10 Samuel Dr, Washington, PA 15301-3206 | 2018-11-26 |
| 1851866198 | Washington Medical LLC | Internal Medicine | 1140 Varnum St Ne Ste 203, Washington, DC 20017-2153 | 2018-10-12 |
| 1124512819 | Internal Medicine Colleagues Pllc | Internal Medicine | 2021 K St Nw Ste 404, Washington, DC 20006-1003 | 2018-06-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20420 |
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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.