DR. SUSAN LAUREL FULMER (NPI# 1750506283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750506283 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LAUREL FULMER |
| Credential | MD |
| Practice Address |
229 Parrish St Suite 250 Canandaigua NY 14424-1791 |
| Practice Telephone | 5853948800 |
| Mailing Telephone | 5853948800 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 264766 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427423482 | Susan Fulmer | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2015-12-02 |
| 1689667107 | Susan E Fulmer | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2005-08-30 |
| Street Address |
229 PARRISH ST SUITE 250 |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534479 | Bruce Paul Klein | Orthopaedic Surgery | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2006-06-08 |
| 1174063697 | Karilynn M Cervini | Nurse Practitioner | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2017-03-02 |
| 1114473113 | Darius Cox | Physical Therapist | 229 Parrish St, Ste 220, Canandaigua, NY 14424-1791 | 2016-08-30 |
| 1083169452 | Canandaigua Physical Therapy P.C. | Physical Therapist | 229 Parrish St, Suite 220, Canandaigua, NY 14424-1791 | 2016-08-16 |
| 1962804260 | Karen Cunningham | Nurse Practitioner | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1791 | 2014-09-18 |
| 1093086936 | Kristin Noel Verrette | Physician Assistant | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2012-01-24 |
| 1356641583 | Christopher Michael Leberth II | Physician Assistant | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2010-10-21 |
| 1740597475 | Jared Wachterman | Urology | 229 Parrish St, Suite 200, Canandaigua, NY 14424-1791 | 2010-09-01 |
| 1114169331 | Joshua Olsen | Orthopaedic Surgery | 229 Parrish St, Suite 100, Canandaigua, NY 14424-1791 | 2009-04-02 |
| 1699933200 | Roger D Sequeira | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699933200 | Roger D Sequeira | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2008-05-30 |
| 1902820970 | Jay A Yates | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2006-07-26 |
| 1053335026 | Eric A Birken | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2006-07-26 |
| 1679597652 | Srinivas R Kaza | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2006-07-26 |
| 1841211836 | Lakeside Ent & Allergy LLC. | Otolaryngology | 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766361 | Ali Agarabi | Otolaryngology | 675 Westview Dr, Mattituck, NY 11952-2963 | 2020-03-26 |
| 1932739281 | Ear Nose & Throat Medical Services of New York, Pllc | Otolaryngology | 8 Quaker Ridge Rd, Glen Head, NY 11545-3326 | 2020-01-24 |
| 1669002283 | Robert I Kaplan Md Pllc | Otolaryngology | 1524 Route 9 Ste 2, Halfmoon, NY 12065-8646 | 2020-01-23 |
| 1154965648 | B Thuy Le Md P C | Otolaryngology | 589 Broadway Fl 2, New York, NY 10012-3231 | 2019-10-29 |
| 1659938959 | Tony Richa | Otolaryngology | Elm and Carlton Streets Head and Neck Surgical Oncology, Buffalo, NY 14263-0001 | 2019-05-22 |
| 1003372632 | Nancy King Md Pllc | Otolaryngology | 128 Mott St Ste 608, New York, NY 10013-5589 | 2019-02-19 |
| 1265919179 | Rian Rosen | Otolaryngology | 420 Madison Ave Rm 503, New York, NY 10017-1175 | 2018-07-24 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1003308172 | Greater Buffalo Ent | Otolaryngology | 3950 E Robinson Rd Ste 106, Amherst, NY 14228-2042 | 2018-06-04 |
| 1184141798 | Ofer Azoulay | Otolaryngology | 185 Montague St Fl 5, Brooklyn, NY 11201-3608 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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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.