BRIAN J FULLER (NPI# 1780973982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780973982 |
Entity Type | Individual |
Full Name | BRIAN J FULLER |
Credential | MD |
Practice Address |
6909 Good Samaritan Dr Suite A Cincinnati OH 45247-5208 |
Mailing Address |
4685 Forest Ave C Cincinnati OH 45212-3359 |
Practice Telephone | 5132452500 |
Practice Fax Number | 5132455424 |
Mailing Telephone | 5138534731 |
Mailing Fax Number | 5138528525 |
Enumeration Date | 2011-03-29 |
Last Update Date | 2017-01-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
35.124187 | OH | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | OTHER | 12051983 | 01 |
OH | 0124895 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760674725 | Brian Scott Fuller | Dentist | 1920 S 1st St, 1509, Minneapolis, MN 55454-1055 | 2007-08-14 |
1316035280 | Brian Christopher Fuller | Pediatrics | 2401 Village Professional Drive, Opelika, AL 36801-4702 | 2006-10-10 |
1073556544 | Brian Jay Fuller | Chiropractor | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2006-06-13 |
1972562601 | Brian George Fuller | Physical Therapist | 15 Porters Glen Pl, Durham, NC 27713-9164 | 2006-03-21 |
1730174160 | Brian J Fuller | Physical Therapist | 4453 State Route 159, Chillicothe, OH 45601-8620 | 2005-09-12 |
1427540178 | Brian Fuller | Pediatrics | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2018-05-30 |
1184915365 | Brian Robert Fuller | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2230 | 2011-04-22 |
1033409438 | Brian Edward Fuller | Psychiatry & Neurology | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-04-19 |
1336473032 | Brian K Fuller | Case Manager/Care Coordinator | 3211 Jefferson St, San Diego, CA 92110-4424 | 2009-09-28 |
1396972386 | Brian C Fuller | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2009-06-17 |
Street Address |
6909 GOOD SAMARITAN DR SUITE A |
City | CINCINNATI |
State | OH |
Zip Code | 45247-5208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457350647 | Todd S Harrison | Specialist/Technologist | 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 | 2005-07-19 |
1144796962 | Myles Beeman | Physical Therapist | 6909 Good Samaritan Dr, Cincinnati, OH 45247-5208 | 2018-10-18 |
1427504224 | Brandon Modafari | Physical Therapist | 6909 Good Samaritan Dr, Ste. A, Cincinnati, OH 45247-5208 | 2016-08-31 |
1992166631 | Kristen Imhoff | Clinic/Center | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2016-03-08 |
1881050292 | Borrego Dialysis LLC | Clinic/Center | 6909 Good Samaritan Dr, Ste C, Cincinnati, OH 45247-5209 | 2016-01-14 |
1770986945 | Christina Ward | Occupational Therapist | 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 | 2014-10-02 |
1790188084 | Robert Schneider | Occupational Therapist | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2014-10-01 |
1346659364 | Jackie Joyce | Occupational Therapist | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2014-08-04 |
1578980603 | Christopher Chen | Orthopaedic Surgery | 6909 Good Samaritan Dr, Cincinnati, OH 45247-5208 | 2014-03-26 |
1053735944 | Trihealth G LLC | Dermatology | 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 | 2014-02-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
Find all providers in zip 45247 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497804181 | Earl C. Scheidler,do., Inc. | Family Medicine | 11043 Main St, Cincinnati, OH 45241-2678 | 2007-01-10 |
1154303501 | Todd E Grime | Family Medicine | 8099 Cornell Rd, Cincinnati, OH 45249 | 2005-11-18 |
1295353092 | Orthocincy | Family Medicine | 8251 Pine Rd Ste 212, Cincinnati, OH 45236-2194 | 2020-07-08 |
1467656462 | Emily E Dixon | Family Medicine | 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212 | 2007-06-13 |
1043345739 | Manna Yegna Sankar | Family Medicine | 4460 Montgomery Rd, Cincinnati, OH 45212-3116 | 2007-02-22 |
1659391761 | Jon G Divine | Family Medicine | 222 Piedmont Ave, Ml 0212, Cincinnati, OH 45219-4231 | 2006-07-20 |
1528063740 | John Patrick Zisko | Family Medicine | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2005-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417467119 | Natalie Marie Dragovich | Family Medicine | 9228 Shepard Rd, Macedonia, OH 44056-1454 | 2017-10-07 |
1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
1295152296 | Benjamin Ross Ahrens | Family Medicine | 4343 All Seasons Dr Ste 100, Hilliard, OH 43026-1961 | 2014-03-27 |
1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
1669815445 | Anthony Peter Mckeen | Family Medicine | 1900 S Union Ave Ste 100, Alliance, OH 44601-4355 | 2013-04-11 |
1053661322 | Greene Memorial Hospital Services, Inc. | Family Medicine | 6645 Morris Rd, Hamilton, OH 45011-5417 | 2012-09-14 |
1700142734 | Jeffrey Aaron James | Family Medicine | 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 | 2012-04-04 |
1568751790 | Raul A Raudales Jr. | Family Medicine | State Rte 159, Ste G15, Chillicothe, OH 45601 | 2011-03-28 |
1255639381 | Ohiohealth Corporation | Family Medicine | 1797 Hill Rd N Ste 100, Pickerington, OH 43147-7998 | 2011-03-15 |
1811295900 | Ohiohealth Corporation | Family Medicine | 94 N High St Ste 200, Dublin, OH 43017-1194 | 2011-03-14 |
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City | CINCINNATI |
Zip Code | 45247 |
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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.