MR. STEVEN MICHAEL FULLER (NPI# 1699115139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699115139 |
| Entity Type | Individual |
| Full Name | MR. STEVEN MICHAEL FULLER |
| Other Name | MR. S. MICHAEL FULLER |
| Credential | LPC, LMFT |
| Practice Address |
4202 Sw Lee Blvd. Park Ridge Professional Center Lawton OK 73505 |
| Mailing Address |
Po Box 655 Anadarko OK 73005-0655 |
| Practice Telephone | 5805853346 |
| Mailing Telephone | 5805853346 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
200 | OK | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 88 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770629339 | Steven Craig Fuller | Dentist | 2822 E 29th St, Des Moines, IA 50317-8720 | 2007-01-30 |
| 1073813572 | Steven Fuller | Pharmacist | 1735 Virginia Ave, North Bend, OR 97459-2346 | 2010-10-30 |
| 1316054117 | Steven B Fuller | Orthopaedic Surgery | 1908 Cherokee Ave Sw, Cullman, AL 35055-5502 | 2006-08-25 |
| 1760423438 | Steven D Fuller | Internal Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-06-10 |
| Street Address |
4202 SW LEE BLVD. PARK RIDGE PROFESSIONAL CENTER |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343829 | Paul Gerard Adams | Counselor | 5529 Nw Eisenhower Dr, Lawton, OK 73505-5826 | 2019-02-25 |
| 1790277259 | Powers Powers & Slagle LLC | Counselor | 1930 Nw Ferris Ave Ste 4, Lawton, OK 73507-5629 | 2018-05-31 |
| 1316300429 | Misty Dawn Watkins | Counselor | 2414 Nw Norman Cir, Lawton, OK 73505-1417 | 2016-04-05 |
| 1740665686 | Andrea Vangorder | Counselor | 910 Sw E Ave, Lawton, OK 73501-4593 | 2015-07-21 |
| 1396170791 | Anke Peyton | Counselor | 563 Sunset Dr, Lawton, OK 73507-7164 | 2013-09-05 |
| 1407193550 | Wanda Denice Smith | Counselor | 2416 Sw Oxford Dr, Lawton, OK 73505-0802 | 2013-01-09 |
| 1083968085 | Doletha Brown | Counselor | 7803 Nw Morrocco Rd, Lawton, OK 73505-1122 | 2012-10-30 |
| 1861742868 | Latoria M Miller | Counselor | 2208 Sw Edinburough Dr, Lawton, OK 73505-0849 | 2012-09-17 |
| 1043575947 | Lillian L Bell | Counselor | 1510 Se Walnut Creek Rd, Lawton, OK 73501-8327 | 2012-07-07 |
| 1962782664 | Pamela M Chewning | Counselor | 145 Ne Babbit St, Lawton, OK 73507-1423 | 2011-08-25 |
| Find all providers in LAWTON | ||||
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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.