KURT B. FULK (NPI# 1811028087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811028087 |
| Entity Type | Individual |
| Full Name | KURT B. FULK |
| Credential | C. PED., BOC-O, CO |
| Practice Address |
2100 S Brentwood Blvd Ste A Springfield MO 65804-2534 |
| Mailing Address |
638 Sommer Ln Billings MO 65610-8324 |
| Practice Telephone | 4178880887 |
| Mailing Telephone | 4177444152 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
2100 S BRENTWOOD BLVD STE A |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346419249 | Springfield Orthopaedic & Pedorthic Services, LLC | Prosthetic/Orthotic Supplier | 2100 S Brentwood Blvd Ste A, Springfield, MO 65804-2534 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
| 1205399029 | Tonee Jarrett | Prosthetic/Orthotic Supplier | 503 N Dirksen Pkwy, Springfield, IL 62702-6110 | 2019-04-09 |
| 1134636426 | Orthotics & Prosthetics Laboratories, Inc. | Prosthetic/Orthotic Supplier | 3500 Main St Ste 1, Springfield, MA 01107-1150 | 2018-01-08 |
| 1942638176 | Lester E Cox Medical Centers | Prosthetic/Orthotic Supplier | 2224 W Sunset St, Springfield, MO 65807-5980 | 2013-10-25 |
| 1245581131 | Lester E Cox Medical Centers | Prosthetic/Orthotic Supplier | 3525 S National Ave Ste 205b, Springfield, MO 65807-7315 | 2012-10-02 |
| 1720368509 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 2025 W Iles Ave Ste B, Springfield, IL 62704 | 2011-08-24 |
| 1154560647 | Z-coil Pain Relief Footwear | Prosthetic/Orthotic Supplier | 2674 S Glenstone Ave, Springfield, MO 65804-3718 | 2009-02-06 |
| 1235319260 | Bare Necessities of Springfield | Prosthetic/Orthotic Supplier | 1704 Boston Road, Springfield, MA 01129 | 2007-11-07 |
| 1205847787 | Cook's Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 2012 Memorial Blvd, Springfield, TN 37172-3914 | 2006-08-10 |
| 1508899337 | Lester E Cox Medical Centers | Prosthetic/Orthotic Supplier | 2240 W Sunset St, Suite 100, Springfield, MO 65807-5980 | 2006-07-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.