DR. MARVIN CLARK FULTZ (NPI# 1750385340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750385340 |
| Entity Type | Individual |
| Full Name | DR. MARVIN CLARK FULTZ |
| Credential | D.O. |
| Practice Address |
519 E Main St Cut Bank MT 59427-3015 |
| Practice Telephone | 4068735670 |
| Practice Fax Number | 4068732256 |
| Mailing Telephone | 4068735670 |
| Mailing Fax Number | 4068732256 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5911 | AK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 1440 | WV | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 8022 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD6852 | 05 | |
| MT | 0038726 | 05 |
| Street Address |
519 E MAIN ST |
| City | CUT BANK |
| State | MT |
| Zip Code | 59427-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640121 | Christopher Calerich | Nurse Practitioner | 519 E Main St, Cut Bank, MT 59427-3015 | 2020-08-20 |
| 1598142838 | David Stanley Ketchell | Counselor | 519 E Main St, Cut Bank, MT 59427-3015 | 2015-05-06 |
| 1194133876 | Claire Louise Reynolds | Registered Nurse | 519 E Main St, Cut Bank, MT 59427-3015 | 2014-07-25 |
| 1508028895 | Athena Jane Ocampo Halol | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2008-06-27 |
| 1518160100 | Marsha Lynn Atherton | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2007-06-09 |
| 1104963610 | Del Bremer Coolidge | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2007-01-31 |
| 1780764274 | Glacier Community Health Center Inc | Specialist | 519 E Main St, Cut Bank, MT 59427-3015 | 2006-10-17 |
| 1801901582 | Cornelia Simunic | Nurse Practitioner | 519 E Main St, Cut Bank, MT 59427-3015 | 2006-08-20 |
| 1497860183 | James M. Cooper | Obstetrics & Gynecology | 519 E Main St, Cut Bank, MT 59427-3015 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518084284 | Kathleen Egan Egan Broere | Counselor | 60 Loring Rd., Cut Bank, MT 59427 | 2007-03-26 |
| 1043385248 | Marianne M. Wilson | Registered Nurse | 802 2nd Street Se, Cut Bank, MT 59427 | 2006-11-22 |
| 1356341051 | Glacier Care Center, Inc. | Assisted Living Facility | 707 3rd St Se, Cut Bank, MT 59427 | 2005-07-26 |
| 1386826154 | Henry Fritz Thies | Pharmacist | 601 West Main Street, Cut Bank, MT 59427 | 2007-12-03 |
| 1598393555 | Ideal Balance Pllc | Community/Behavioral Health | 615 W Main St, Cut Bank, MT 59427-2802 | 2020-03-27 |
| 1801342118 | Aaron Van Wagoner | Physical Therapist | 615 W Main St, Cut Bank, MT 59427-2802 | 2016-08-27 |
| 1407843337 | Ronald R Campbell | Pharmacist | 601 W Main St, Cut Bank, MT 59427-2804 | 2005-10-05 |
| 1881605392 | Drugmart Inc | Pharmacy | 601 W Main St, Northern Village Mall, Cut Bank, MT 59427-2804 | 2006-08-10 |
| 1487253027 | Shreya Patel | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-10-24 |
| 1265046478 | Quinn Allen Spinler | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-09-04 |
| Find all providers in zip 59427 | ||||
| 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 |
|---|---|---|---|---|
| 1508028895 | Athena Jane Ocampo Halol | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2008-06-27 |
| 1518160100 | Marsha Lynn Atherton | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2007-06-09 |
| 1104963610 | Del Bremer Coolidge | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2007-01-31 |
| 1245344563 | Henry Tucker Clay Jr. | Family Medicine | 802 2nd St Se, Cut Bank, MT 59427-3329 | 2006-08-17 |
| 1033157276 | Randy Neal Webb | Family Medicine | 802 2nd St Se, Cut Bank, MT 59427-3329 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883539 | Scl Health Medical Group - Billings LLC | Family Medicine | 55 N Montana Ave, Absarokee, MT 59001-6339 | 2020-08-28 |
| 1174165682 | St. Peter's Health | Family Medicine | 515 South Front St, Townsend, MT 59644 | 2019-10-16 |
| 1922653484 | Logen Ross Nunberg | Family Medicine | 105 E Oak St Ste 1e, Bozeman, MT 59715-2978 | 2019-08-01 |
| 1588124846 | Pureview Health Center | Family Medicine | 250 Academic Street, East Helena, MT 59635 | 2019-03-22 |
| 1174081723 | Sari Rey Kerslake | Family Medicine | 1163 Middle Burnt Fork Rd, Stevensville, MT 59870-6644 | 2019-03-03 |
| 1801381934 | Park Health Care Pllc | Family Medicine | 1001 River Dr Ste 100, Livingston, MT 59047-3716 | 2018-07-01 |
| 1306368345 | All Families Healthcare, Pllc | Family Medicine | 737 Spokane Ave, Whitefish, MT 59937-2968 | 2017-07-12 |
| 1194257865 | Christopher Hallberg | Family Medicine | 445 W Alder St, Missoula, MT 59802-4121 | 2017-03-31 |
| 1437680758 | Isaac Billings | Family Medicine | 107 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2017-03-27 |
| 1881051340 | Amber Leigh Guy | Family Medicine | 1830 N Dickens St Apt 4, Missoula, MT 59802-5005 | 2016-01-28 |
| Find all providers with the same taxonomy | ||||
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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.