DR. AMY FULLER (NPI# 1366898710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366898710 |
| Entity Type | Individual |
| Full Name | DR. AMY FULLER |
| Credential | M.D. |
| Practice Address |
628 E 12th St Washington NC 27889-3409 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2529754319 |
| Practice Fax Number | 2529484826 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2020-00792 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Stantonsburg Rd, Greenville, NC 278342818 | 2528474100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235559121 | Amy Margaret Fuller | Nurse Practitioner | 34 Bayview Ave, Danvers, MA 01923-3214 | 2014-04-18 |
| 1518157080 | Amy Jo Fuller | Dentist | 3060 Avenue B, Suite A, Billings, MT 59102 | 2007-07-30 |
| 1538227319 | Amy Fuller | Dentist | 247 Portland Street, Yarmouth, ME 04096 | 2006-12-05 |
| 1366915811 | Amy Lynn Fuller | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2019-01-08 |
| 1013432343 | Amy Marie Fuller | Behavioral Analyst | 120 Theresa Ave, American Canyon, CA 94503-9654 | 2017-08-08 |
| 1396105938 | Amy Fuller | Behavioral Analyst | 140 High St, Carver, MA 02330-1016 | 2016-02-24 |
| 1417323965 | Amy Fuller | Behavioral Analyst | 2447 Pacific Coast Hwy, Hermosa Beach, CA 90254-2714 | 2015-08-19 |
| 1700073673 | Amy Beth Fuller | Dietitian, Registered | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2007-09-25 |
| 1184730756 | Amy M Fuller | Counselor | 1380 Pantheon Way, #310, San Antonio, TX 78232 | 2006-08-23 |
| Street Address |
628 E 12TH ST |
| City | WASHINGTON |
| State | NC |
| Zip Code | 27889-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629297 | Randal White | Internal Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2005-06-15 |
| 1255815163 | Andrea Michelle Pfeffer | Physician Assistant | 628 E 12th St, Washington, NC 27889-3409 | 2018-09-18 |
| 1417479593 | Fnu Parul Chandrika | Internal Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2017-07-11 |
| 1912427576 | Brittany Nichole Speed | Emergency Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2017-06-26 |
| 1275063471 | Imran Syed | Internal Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2017-06-20 |
| 1144759069 | Amy Michelle Modlin | Family Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2017-06-05 |
| 1205363686 | Nathan Christopher Roney | Emergency Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2017-05-17 |
| 1093252447 | Albert Foster Hunt | Physician Assistant | 628 E 12th St, Washington, NC 27889 | 2017-01-24 |
| 1124474564 | Marina Nader Boushra Freiberg | Emergency Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2016-05-04 |
| 1780085290 | Laurel Mackenzie | Dietitian, Registered | 628 E 12th St, Washington, NC 27889-3409 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| 1790175917 | Inner Coastal Orthotics and Prosthetics | Orthotist | 1102 North Brown St., Washington, NC 27889 | 2015-01-26 |
| 1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
| 1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
| 1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
| 1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| Find all providers in zip 27889 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396263224 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 222 Coachside Dr, Washington, PA 15301-8942 | 2017-08-30 |
| 1023466950 | Eugene Kojo Oteng | Emergency Medicine | Howard Univeristy Hospital, 2041 Georgia Ave Nw, Washington, DC 20059 | 2016-06-01 |
| 1790131134 | Louis Oliver Colaianni | Emergency Medicine | 115 Wilson Ave, Washington, PA 15301 | 2016-05-04 |
| 1659734853 | Randall Lee | Emergency Medicine | 2120 L. Street, Nw, Suite 450, Washington, DC 20037 | 2016-04-04 |
| 1033571906 | Elise Milani | Emergency Medicine | 2120 L St Nw Ste 459, Washington, DC 20037-1527 | 2016-03-22 |
| 1154732147 | Eric Kikuo Noji | Emergency Medicine | 1341 Hemlock St Nw, Washington, DC 20012-1560 | 2014-05-13 |
| 1194075051 | Oluwaseyi Adekunle | Emergency Medicine | 2138 California St Nw Apt 307, Washington, DC 20008 | 2012-09-18 |
| 1902191570 | Waddaa R Redha | Emergency Medicine | 2120 L St, Nw, Suite 450, Washington, DC 20037 | 2011-06-13 |
| 1609181130 | Rene Julio Moncion | Emergency Medicine | 24 Stonehenge Dr, Washington, PA 15301-3026 | 2010-08-09 |
| 1508095449 | Joshua Ryan Baker | Emergency Medicine | 1350 R St Nw, Apt 409, Washington, DC 20009-4323 | 2009-07-14 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 27889 |
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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.