GARRY FULLER (NPI# 1285670380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285670380 |
| Entity Type | Individual |
| Full Name | GARRY FULLER |
| Credential | MD |
| Practice Address |
110 Longwood Ave Rockledge FL 32955-2828 |
| Mailing Address |
291 Southhall Ln Suite 201 Maitland FL 32751-7274 |
| Practice Telephone | 4076670444 |
| Practice Fax Number | 4076674338 |
| Mailing Telephone | 4076670444 |
| Mailing Fax Number | 4076674338 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME83200 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 37511 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609854744 | Garry T Fuller | Chiropractor | 515 N Green St, Suite 100, Brownsburg, IN 46112-2421 | 2006-01-09 |
| Street Address |
110 LONGWOOD AVE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192244 | Wuesthoff Emergency Physicians Pa | Emergency Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2005-05-31 |
| 1962011809 | Sydney Bovender | Dietitian, Registered | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2020-07-27 |
| 1235663899 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-20 |
| 1437682127 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-10 |
| 1306200522 | Rockledge Emergency Group LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-13 |
| 1538523295 | Rockledge Physician Services, LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-08 |
| 1497111983 | Infectious Diseases Specialist of Brevard LLC | Internal Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-01-13 |
| 1679943740 | John Wesley Rothwell IIi | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-10-02 |
| 1922484104 | Lucas Marlatt | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-08-10 |
| 1447631049 | Ioana Workman | Pharmacist | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194193888 | Space Coast Anesthesiology and Pain Medicine Pllc | Anesthesiology | 907 Preakness Pl, Rockledge, FL 32955-6112 | 2015-09-11 |
| 1215121439 | National Cosmetic Laser Center | Anesthesiology | 1974 Rockledge Blvd Ste 102, Rockledge, FL 32955-3723 | 2007-08-30 |
| 1326487042 | Joshua R Reynolds | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2013-06-15 |
| 1083953772 | Amsurg Rockledge Fl Anesthesia LLC | Anesthesiology | 1974 Rockledge Blvd, Suite 102, Rockledge, FL 32955-3756 | 2013-01-31 |
| 1740471895 | Scott L Sugar | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2007-08-05 |
| 1801970595 | Frank Imas | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-10-25 |
| 1083634083 | Peter Haughie | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-07-20 |
| 1801813852 | Kirk P Dockendorf | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-07-16 |
| 1376589473 | Herbert Mercado | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-06-20 |
| 1003858614 | Jeanette Kostell | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-06-11 |
| Find all providers in ROCKLEDGE | ||||
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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.