ELIZABETH A FULLER (NPI# 1669433645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669433645 |
| Entity Type | Individual |
| Full Name | ELIZABETH A FULLER |
| Credential | MD |
| Practice Address |
407 Main St Spencer MA 01562-1909 |
| Mailing Address |
630 Plantation St Worcester MA 01605-2038 |
| Practice Telephone | 5088859737 |
| Practice Fax Number | 5088856139 |
| Mailing Telephone | 5088859737 |
| Mailing Fax Number | 5088856139 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 75454 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FALLON COMMUNITY HEALTH P | 9900893 | 01 | |
| PRIVATE HEALTHCARE SYSTEM | 042472266 | 01 | |
| FIRST HEALTH | 1150053 | 01 | |
| MA | BLUE CROSS BLUE SHIELD OF MA | 1669433645 | 01 |
| AETNA US HEALTHCARE | 4545003 | 01 | |
| BLUE SHIELD INDEMNITY | J12908 | 01 | |
| HARVARD PILGRIM HEALTHCAR | AA1214 | 01 | |
| MA | TUFTS HEALTH PLAN | 1669433645 | 01 |
| MA | 3104796 | 05 | |
| CIGNA HEALTH PLAN | 9143201 | 01 | |
| ONE HEALTH PLAN | 042472266 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997981 | Elizabeth Ashley Fuller | Behavioral Analyst | 1618 18th St Apt 4, Sacramento, CA 95811-6753 | 2020-03-17 |
| 1215944871 | Elizabeth Ann Fuller | Speech-Language Pathologist | 636 N Edgewood Ave, Lombard, IL 60148 | 2006-08-03 |
| 1982237699 | Elizabeth Ann Fuller | Nurse Practitioner | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2020-02-20 |
| 1669016739 | Elizabeth Fuller | Specialist/Technologist | 11 Hills Beach Rd, Biddeford, ME 04005-9526 | 2019-11-01 |
| 1780162784 | Elizabeth H Fuller | Physical Therapist | 1991 Fordham Dr Ste 102, Fayetteville, NC 28304-3774 | 2018-08-01 |
| 1508369943 | Elizabeth Ann Fuller | Behavior Technician | 1901 Royal Oaks Dr Ste 200, Sacramento, CA 95815-4235 | 2018-03-12 |
| 1043746456 | Elizabeth Fuller | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2017-05-04 |
| 1790229052 | Elizabeth L Fuller | Nurse Practitioner | 4350 Cleveland Ave, Walnut Grove, AL 35990 | 2016-12-06 |
| 1346617495 | Elizabeth Caroline Fuller | Developmental Therapist | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2015-08-25 |
| 1679964720 | Elizabeth Fuller | Nurse Practitioner | 20 Hazelwood Dr, Pell City, AL 35125-3382 | 2015-02-11 |
| Street Address |
407 MAIN ST |
| City | SPENCER |
| State | MA |
| Zip Code | 01562-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073920799 | Erin E. Tanner | Nurse Practitioner | 407 Main St, Spencer, MA 01562-1909 | 2014-07-15 |
| 1467888685 | Kristin L Eineberg | Nurse Practitioner | 407 Main St, Spencer, MA 01562-1909 | 2013-09-19 |
| 1326482894 | Lauren Amanda Parrilla | Registered Nurse | 407 Main St, Spencer, MA 01562-1909 | 2013-04-26 |
| 1417916875 | John C Batbouta | Internal Medicine | 407 Main St, Spencer, MA 01562 | 2006-03-22 |
| 1326027251 | Tehan C Cusimano | Physician Assistant | 407 Main St, Spencer, MA 01562 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699890855 | Carla Lynn Mongiacotti | Registered Nurse | 77 Hastrup Road, Spencer, MA 01562 | 2007-03-20 |
| 1912007964 | Ronald Lane Maclin | Family Medicine | 136 Main Street, Spencer, MA 01562 | 2006-09-22 |
| 1790705432 | Robert Ernest Maloney | Internal Medicine | 118 West Main St, Harrington Physician Services, Spencer, MA 01562 | 2006-07-19 |
| 1912105123 | Town of Spencer | Clinic/Center | 157 Main Street, Spencer, MA 01562 | 2007-07-10 |
| 1134347156 | Spencer-east Brookfield Reg. School Dist. | Local Education Agency (LEA) | 306 Main Street, Spencer, MA 01562 | 2007-04-23 |
| 1093854903 | Nicole Marie Boucher | Counselor | 185 Main Street, Suite 22, Spencer, MA 01562 | 2007-02-06 |
| 1275671331 | Melissa Jane Ayantota | Counselor | 185 Main Street, Spencer, MA 01562 | 2007-02-02 |
| 1467512228 | Arni Bruno Vito Casareale | Counselor | 369 Main St, Spencer, MA 01562 | 2006-12-11 |
| 1407956774 | Leonard A Simonelli Sr. | Optometrist | 230 Main St, Spencer, MA 01562 | 2006-09-25 |
| 1699875039 | Cvs Pharmacy Inc | Pharmacy | 131 Main St, Spencer, MA 01562 | 2006-09-25 |
| Find all providers in zip 01562 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366830390 | Rowan Diagnostic Clinic | Family Medicine | 446 S Salisbury Ave, Suite D, Spencer, NC 28159-2239 | 2014-12-29 |
| 1184754111 | Cumberland Family Care P.C. | Family Medicine | 817 College St, Spencer, TN 38585-3436 | 2007-03-07 |
| 1467520270 | Niobrara Valley Hospital Corporation | Family Medicine | 108 West Evans St, Spencer, NE 68777-0269 | 2006-12-01 |
| 1912007964 | Ronald Lane Maclin | Family Medicine | 136 Main Street, Spencer, MA 01562 | 2006-09-22 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1033196837 | Family Medical Care of Rowan-spencer | Family Medicine | 117 5th St, Spencer, NC 28159-2125 | 2005-12-22 |
| 1528045390 | Family Medical Care of Rowan Pa | Family Medicine | 300 N Salisbury Ave, Spencer, NC 28159-2514 | 2005-12-22 |
| 1609315829 | Indiana Health Centers, Inc | Family Medicine | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2017-02-21 |
| 1649650649 | Patrick James Kennedye | Family Medicine | 2601 Spencer Rd, Spencer, OK 73084 | 2015-06-04 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| Find all providers in SPENCER | ||||
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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.