ALICE K FULLER


Address: 550 N Broadway, Suite 810, Baltimore, MD 21205-2020
Phone: 4109558923

ALICE K FULLER (NPI# 1295933836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295933836
Entity Type Individual
Full Name ALICE K FULLER
Credential PA-C
Practice Address 550 N Broadway
Suite 810
Baltimore
MD 21205-2020
Mailing Address 1216a Baldwin Mill Rd
Jarrettsville
MD 21084-1908
Practice Telephone 4109558923
Practice Fax Number 4106141763
Mailing Telephone 4109558923
Mailing Fax Number 4106141763
Enumeration Date 2007-07-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C0000034 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 550 N BROADWAY
SUITE 810
City BALTIMORE
State MD
Zip Code 21205-2020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316913536 Jennifer Elizabeth Axilbund Genetic Counselor, MS 550 N Broadway, Suite 410, Baltimore, MD 21205-2020 2006-02-27
1922440254 Rosa M Nadal Rios Physician Assistant 550 N Broadway, Baltimore, MD 21205-2020 2013-07-29
1487901708 Jennifer Nail Psychologist 550 N Broadway, Baltimore, MD 21205-2020 2012-08-06
1235495334 Adrian Harold Batchelor Dentist 550 N Broadway, Suite 406, Baltimore, MD 21205-2020 2012-04-03
1093949927 Lauren Melanie Osborne Psychiatry & Neurology 550 N Broadway, Suite 305, Baltimore, MD 21205-2020 2009-05-06
1770771438 Jill Diane Trimbath Genetic Counselor, MS 550 N Broadway, Suite 108, Baltimore, MD 21205-2020 2007-10-09
1033318290 Sanghoon Lee Acupuncturist 550 N Broadway, Room 107, Baltimore, MD 21205-2020 2007-07-17
1972701464 Steven J. Baust Physician Assistant 550 N Broadway, Suite 810 550 Building, Baltimore, MD 21205-2020 2007-07-05
1134268618 Laura Rao Katta Obstetrics & Gynecology 550 N Broadway, Suite 214, Baltimore, MD 21205-2020 2007-02-05
1659428613 Anthony H Schwartz Dentist 550 N Broadway, Suite 406, Baltimore, MD 21205-2020 2007-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467019034 Meghna Rajaprakash Student in an Organized Health Care Education/Training Program 716 N Broadway, Rm 431, Baltimore, MD 21205 2019-05-20
1871158592 Rachel Samantha Bronheim Student in an Organized Health Care Education/Training Program 610 N Caroline St, 5th Floor, Baltimore, MD 21205 2019-05-08
1700342250 Ruth Leeanna Williams Social Worker 504 N. Caroline Street, Baltimore, MD 21205 2019-02-20
1174017032 Anna Kathryn Chassevent Genetic Counselor, MS 801 N. Broadway, Baltimore, MD 21205 2018-06-14
1588115653 Redeem Healthcare and Medical System Inc Case Management 917 North Caroline Street, Baltimore, MD 21205 2016-10-24
1013334929 Crystal Diane Salcido Psychiatry & Neurology 855 N Wolfe St Ste 300, Baltimore, MD 21205 2014-03-28
1487088464 Laura Mitchell Nurse Practitioner 707 N. Broadway Ave, Baltimore, MD 21205 2013-08-27
1477992410 Ferbet Take Care Health Maryland, P.C. Nurse Practitioner 900 N. Washington Street, Baltimore, MD 21205 2013-06-24
1225370570 Amena Smith Fine Pediatrics Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 2013-03-25
1356695993 Kalpana Prasad Student in an Organized Health Care Education/Training Program 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 2012-11-05
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306447495 Naftali Zapinsky Physician Assistant 3507 Labyrinth Rd, Baltimore, MD 21215-1731 2020-11-04
1235738683 Ester Dahee Kim Physician Assistant 2400 W Belvedere Ave, Baltimore, MD 21215-5216 2020-10-17
1962014233 Julian Kang Physician Assistant 3407 Wilkens Ave Ste 250, Baltimore, MD 21229-5222 2020-08-18
1962034868 Ruth Angelica Naomi Jasienski Physician Assistant 6821 Reisterstown Rd Lowr Lvl, Baltimore, MD 21215-1431 2020-02-08
1679115463 Mark Symancyk Physician Assistant 620 W Lexington St, Baltimore, MD 21201-1508 2019-10-13
1356800353 Kara M Dragunas Physician Assistant 6701 N Charles St Rm 3808, Baltimore, MD 21204-6808 2019-03-19
1184190480 Joshua Davidoff Physician Assistant 5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 2018-10-15
1083189005 Bing Wang Physician Assistant 6701 N Charles St Rm 3641, Baltimore, MD 21204-6808 2018-10-05
1932674140 Georgia Foulds Physician Assistant 5801 Smith Ave Ste 210, Baltimore, MD 21209-3652 2018-10-04
1922582576 Catherine Kashmer Physician Assistant 600 N Wolfe St Ste 1008, Baltimore, MD 21287-0005 2018-09-19
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Competitor

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City BALTIMORE
Zip Code 21205

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Dataset Information

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.

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