FULTON MEDICAL CENTER LLC (NPI# 1851706493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851706493 |
Entity Type | Organization |
Organization Name | FULTON MEDICAL CENTER LLC |
Other Organization Name | FULTON MEDICAL CLINIC |
Practice Address |
850 N Hospital Dr Suite F Fulton MO 65251-2535 |
Mailing Address |
11221 Roe Ave Suite 320 Leawood KS 66211-1922 |
Practice Telephone | 5736425338 |
Mailing Telephone | 9133870510 |
Enumeration Date | 2014-06-23 |
Last Update Date | 2020-05-20 |
Authorized Official Name | MR. DANIEL R TASSET (VICE CHAIR, NUEHEALTH) |
Authorized Official Telephone | 9133870510 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Fulton Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336559582 | Fulton Medical Center LLC | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2014-04-28 |
1841600095 | Fulton Medical Center LLC | Clinic/Center | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2014-04-28 |
1417367665 | Fulton Medical Center LLC | General Acute Care Hospital | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2014-04-28 |
1699185843 | Fulton Medical Center LLC | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2014-04-28 |
Street Address |
850 N HOSPITAL DR SUITE F |
City | FULTON |
State | MO |
Zip Code | 65251-2535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124054556 | Rezwan Islam | Family Medicine | 850 N Hospital Dr, Ste D, Fulton, MO 65251-2535 | 2006-06-25 |
1164029146 | Karl Christian Sonntag | Internal Medicine | 850 N Hospital Dr, Fulton, MO 65251-2535 | 2020-10-03 |
1023491099 | Elizabeth Ann Yarbrough | Nurse Practitioner | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2015-07-08 |
1841600095 | Fulton Medical Center LLC | Clinic/Center | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2014-04-28 |
1891946877 | Jack Wenkel | Physician Assistant | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2008-10-08 |
1659568574 | Katherine E Skibiski | Specialist | 850 N Hospital Dr, Suite H, Fulton, MO 65251-2535 | 2007-09-25 |
1780884619 | Kristen Brooke Oesch | Nurse Practitioner | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2007-07-19 |
1043394588 | Debra E Brown | Nurse Practitioner | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
Find all providers in zip 65251 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275846495 | Dilip Parulekar Md PC | General Practice | 20 S Hospital Dr, Fulton, MO 65251-2510 | 2010-07-16 |
1477658912 | Rodolfo Noche Arriola | General Practice | 418 Hospital Rd, 1, Fulton, MS 38843 | 2006-09-13 |
1205015724 | Richard R Thompson | General Practice | 510 S 4th St, Fulton, NY 13069-2904 | 2007-11-01 |
1346251774 | Kulangara Punnen Zacharias | General Practice | 600 E 5th Street, Fulton State Hospital, Fulton, MO 65251 | 2006-08-10 |
1952373573 | Billy Tommy Collum | General Practice | 1 Medical Park Dr, Fulton, MS 38843-9001 | 2006-02-07 |
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1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
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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.