DR. RODNEY M FULLMER (NPI# 1497096978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497096978 |
| Entity Type | Individual |
| Full Name | DR. RODNEY M FULLMER |
| Credential | D.O. |
| Practice Address |
5145 N California Ave Emergency Medicine Department Chicago IL 60625 |
| Practice Telephone | 7738788200 |
| Mailing Telephone | 9374700586 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036.140749 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5145 N CALIFORNIA AVE EMERGENCY MEDICINE DEPARTMENT |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649440 | Patricia W Shao | Pharmacist | 5145 N California Ave, Chicago, IL 60625-3661 | 2005-06-16 |
| 1275159907 | Patricia Dykas | Internal Medicine | 5145 N California Ave, Chicago, IL 60625-3661 | 2020-06-18 |
| 1255957163 | Courtney Margaret De Souza | Family Medicine | 5145 N California Ave, Chicago, IL 60625 | 2020-06-17 |
| 1104440387 | Emily Hamm | Internal Medicine | 5145 N California Ave, Chicago, IL 60625-3687 | 2020-06-03 |
| 1801410022 | James Peter Ruska | Internal Medicine | 5145 N California Ave, Chicago, IL 60625-3687 | 2020-06-03 |
| 1417570268 | Syed Imad Kausar | Internal Medicine | 5145 N California Ave, Chicago, IL 60625-3687 | 2020-05-27 |
| 1124641907 | Ahmed Ashary | Family Medicine | 5145 N California Ave, Chicago, IL 60625-3687 | 2020-05-27 |
| 1669095568 | Radhika Yasalini Attele | Family Medicine | 5145 N California Ave, Chicago, IL 60625-3661 | 2020-05-26 |
| 1205459856 | Nicole Kathryn Mcalvany | Internal Medicine | 5145 N California Ave, Chicago, IL 60625-3661 | 2020-05-18 |
| 1760004345 | Basharath Khan | Internal Medicine | 5145 N California Ave, Chicago, IL 60625-3687 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| 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 |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
| 1639699127 | Eugene David Hill | Emergency Medicine | 1623 N Rockwell St, Chicago, IL 60647-5217 | 2017-06-26 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
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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.