ERIC FULKERSON


Address: 2625 Shadelands Dr, Walnut Creek, CA 94598-2512
Phone: 9259398585

ERIC FULKERSON (NPI# 1568581429) 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) 1568581429
Entity Type Individual
Full Name ERIC FULKERSON
Credential MD
Practice Address 2625 Shadelands Dr
Walnut Creek
CA 94598-2512
Mailing Address Po Box 31396
Walnut Creek
CA 94598-8396
Practice Telephone 9259398585
Practice Fax Number 9259332709
Mailing Telephone 9259398585
Mailing Fax Number 9259332709
Enumeration Date 2007-03-29
Last Update Date 2020-09-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery A103677 CA Allopathic & Osteopathic Physicians
Y 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
A103677 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2625 SHADELANDS DR
City WALNUT CREEK
State CA
Zip Code 94598-2512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851374243 Linda Wensley Occupational Therapist 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2005-11-21
1356956460 Kali Anne Koziol Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-09-15
1972125359 Jenna K Paynter Physical Therapist 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-05-08
1811523020 Darby June Nordin Physical Therapist 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-03-19
1023658440 Caitlin Mondt Physical Therapist 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-01-14
1619517745 Benjamin Joseph Hubbard Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-01-07
1558919944 James Albertson Physical Therapist 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2019-08-28
1477114809 Katalin Bela Physical Therapist 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2019-06-26
1770051906 Hyun Woo Kim Physical Therapist 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2018-11-06
1093282576 Courtney Katz Orthopaedic Surgery 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2018-11-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
Find all providers in zip 94598

Taxonomy Information

Taxonomy Code 207XX0801X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Trauma

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093282576 Courtney Katz Orthopaedic Surgery 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2018-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740835131 Jacob Matz Orthopaedic Surgery Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 2019-08-03
1609219658 Matthew John Herring Orthopaedic Surgery Ucsf Orthopaedic Trauma Institute, 2550 23rd St., Bldg. 9, 2nd Floor, San Francisco, CA 94110 2013-04-09
1609038256 Vahdatyar Amirpour M.d. Inc Orthopaedic Surgery 2501 H St, Bakersfield, CA 93301-2817 2008-06-25
1639336076 Christian Seaholm Bromfield Orthopaedic Surgery 6600 Bruceville Rd Ste 111, Sacramento, CA 95823-4671 2008-05-22
1629255237 David C Chang Orthopaedic Surgery 307 Placentia Ave., Suite # 111, Newport Beach, CA 92663 2008-01-25
1881881431 Christopher Max Hoshino Orthopaedic Surgery 1000 W Carson St # 422, Torrance, CA 90502-2004 2007-09-27
1487840583 John H. Serocki, Md, Apc Orthopaedic Surgery 9834 Genesee Ave #228, La Jolla, CA 92037 2007-09-21
1144300385 Gary Jack Phipps Orthopaedic Surgery 26720 Crown Valley Parkway, Suite 200, Mission Viejo, CA 92691 2006-10-16
1013024926 Aaron G. Osborne, D.o., Inc. Orthopaedic Surgery 2480 Sonoma St, Redding, CA 96001-3027 2006-08-24
1689689176 Lorra Marie Sharp Orthopaedic Surgery 1955 Citracado Pkwy Ste 200, Escondido, CA 92029-4112 2006-07-31
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Competitor

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City WALNUT CREEK
Zip Code 94598

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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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