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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0000034 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 N BROADWAY SUITE 810 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205-2020 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 21205 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 |
| Find all providers in BALTIMORE | ||||
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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.