GRIFFIN LOWE FULLER (NPI# 1730573254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730573254 |
| Entity Type | Individual |
| Full Name | GRIFFIN LOWE FULLER |
| Credential | M.D. |
| Practice Address |
825 E Rundberg Ln Ste B1 Austin TX 78753-4860 |
| Practice Telephone | 5129789600 |
| Practice Fax Number | 5129019771 |
| Mailing Telephone | 5129789600 |
| Mailing Fax Number | 5129019771 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | S3661 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11018498A | IN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | S3661 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
825 E RUNDBERG LN STE B1 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578508123 | Jose Bayona | Family Medicine | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2006-06-18 |
| 1821629817 | Kayla Trevino | Dietitian, Registered | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2020-01-29 |
| 1497100275 | Lauren V Vice | Family Medicine | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2016-04-28 |
| 1154796019 | Salima Ali | Internal Medicine | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2015-12-03 |
| 1306249818 | Mary Nicole John | Nurse Practitioner | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2014-09-29 |
| 1417375510 | Mary E Black | Family Medicine | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2014-04-04 |
| 1225044589 | Mark Springs | Family Medicine | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2006-07-31 |
| 1528099058 | Ana M Avalos Mishaan | Pediatrics | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989109 | 3d Regeneration LLC | Internal Medicine | 11610 Bee Caves Rd Ste 230, Austin, TX 78738-5457 | 2020-10-16 |
| 1982210571 | Kim L Rowlands | Internal Medicine | 6101 E Oltorf, None, Austin, TX 78704-7875 | 2020-09-18 |
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1528674561 | Knight Doctor Pllc | Internal Medicine | 1401 Eva St Apt 304, Austin, TX 78704-3069 | 2020-09-16 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1265095160 | Marcos Daniel Villarreal | Internal Medicine | Ut Austin Dell Medical School Seton Internal Medicine, 1500 Red River (dell Seton Medical Center), Austin, TX 78701-1918 | 2019-04-16 |
| 1609368653 | Elain Loquias | Internal Medicine | 1500 Red River St Ste 2.320, Austin, TX 78701 | 2018-06-05 |
| 1851883581 | Suely J Roman Lopez | Internal Medicine | Ut Austin Dell Medical School Internal Medicine, Dell Seaton Medical Center 1500 Red River, Austin, TX 78701 | 2018-05-30 |
| 1265922264 | Devin Leslie | Internal Medicine | Dell Seton Medical Center, 1500 Red River, Austin, TX 78701 | 2018-05-15 |
| 1821585340 | Thrive Physicians Pllc | Internal Medicine | 2217 Park Bend Dr Ste 210, Austin, TX 78758-5674 | 2018-04-19 |
| Find all providers in AUSTIN | ||||
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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.