CYNTHIA J. FULLER


Address: 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925
Phone: 9187433224

CYNTHIA J. FULLER (NPI# 1912010570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912010570
Entity Type Individual
Full Name CYNTHIA J. FULLER
Credential M.D.
Practice Address 4520 S Harvard Ave
Suite 200
Tulsa
OK 74135-2925
Practice Telephone 9187433224
Enumeration Date 2006-08-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
17711 OK Allopathic & Osteopathic Physicians

Other Providers CYNTHIA FULLER

NPI Name Taxonomy Address Enumeration
1487984308 Cynthia Fuller Speech-Language Pathologist 100 Somerby Dr, Alpharetta, GA 30009-8780 2009-12-29
1467474627 Cynthia Elaine Fuller Nurse Practitioner 1025 Montgomery Hwy, Suite 211, Vestavia, AL 35216-2805 2006-07-24

Office Location

Street Address 4520 S HARVARD AVE
SUITE 200
City TULSA
State OK
Zip Code 74135-2925

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740288414 Monte Elvin Harrel Optometrist 4520 S Harvard Ave, Suite 135, Tulsa, OK 74135-2925 2005-07-07
1205389566 Jordan Barnwell Optometrist 4520 S Harvard Ave, Ste 135, Tulsa, OK 74135-2925 2016-08-03
1376944694 Scissortail Healthcare LLC Home Health 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 2014-09-05
1982011912 Denise Burns Optometrist 4520 S Harvard Ave, Ste 135, Tulsa, OK 74135-2925 2014-07-22
1700042660 Shannon Marie Morgans Optometrist 4520 S Harvard Ave, Suite 135, Tulsa, OK 74135-2925 2008-07-31
1316103401 Amber Ann Mayes Optometrist 4520 S Harvard Ave, Suite 135, Tulsa, OK 74135-2925 2008-07-29
1942493051 Phillip L. Cook, O.d., P.C. Optometrist 4520 S Harvard Ave, Suite 150, Tulsa, OK 74135-2925 2007-08-22
1609066596 Lynsey Ann Bigheart Optometrist 4520 S Harvard Ave, Suite 135, Tulsa, OK 74135-2925 2007-07-27
1598989543 Oklahoma Vision Development Center Optometrist 4520 S Harvard Ave, Suite 135, Tulsa, OK 74135-2925 2007-04-12
1972638815 Tulsa Family Chiropractic Chiropractor 4520 S Harvard Ave, Suite 100, Tulsa, OK 74135-2925 2007-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1942839089 Kimberly Renee Gillens Student in an Organized Health Care Education/Training Program 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 2020-04-01
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
1326524216 Shelley Deeann Anderson Technician 7359 S 68th, Tulsa, OK 74135 2018-07-14
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1225547821 Heather Nicole Freed Counselor 4363 S Harvard Ave, Tulsa, OK 74135 2017-09-26
1306363924 Danielle Walker Case Manager/Care Coordinator 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 2017-08-24
1346766078 Angels Place Day Training, Developmentally Disabled Services 3919 S. Oswego Avenue, Tulsa, OK 74135 2017-08-15
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
1346774197 Brandie Herren Registered Nurse 6333 E Skelly Drive, Tulsa, OK 74135 2017-04-19
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033562202 Behavioral Pediatrics of Tulsa Plc Pediatrics 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 2016-07-22
1235403023 Newborn Specialists of Tulsa, PC Pediatrics 1805 E 15th St, Tulsa, OK 74104-4610 2012-02-27
1639282270 Jane Scott Pediatrics 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 2006-08-17
1467478800 Laura Kathleen Taylor Pediatrics 591 E 36th St N, Tulsa, OK 74106-1812 2006-07-15
1194750240 James Coldwell Pediatrics 1145 S Utica Ave, Suite 262, Tulsa, OK 74104-4000 2006-07-11
1457389454 Deborah Noble Baird Pediatrics 1145 S Utica Ave, Suite 262, Tulsa, OK 74104-4000 2006-06-29
1134163942 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336796242 Foundations Therapy, Pllc Pediatrics 3905 N Harrison St, Shawnee, OK 74804-1426 2019-08-25
1285797910 Willienell H Bryant-pitts Pediatrics 216 N Murray St, Helena, OK 73741-1017 2006-12-17
1336194307 Laurie Ann Kukas Pediatrics 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6412 2006-05-24
1639783012 Relfections Behavioral Health Pediatrics 502 W Atlanta St, Broken Arrow, OK 74012-7004 2020-09-03
1083231724 Broken Arrow Pediatric Behavioral Health LLC Pediatrics 502 W Atlanta St, Broken Arrow, OK 74012-7004 2020-06-29
1154695278 Sanford World Clinics Pediatrics 2502 W Elk Ave, Duncan, OK 73533-1562 2012-03-07
1154632610 Laurie A. Kukas, D. O. Faap Pediatrics 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6400 2010-06-29
1760544068 Daryl Leroy Scurry Pediatrics 1515 Ne Lawrie Tatum Rd, Lawton Indian Hospital, Lawton, OK 73507-3002 2006-12-14
1962470211 Mark L Wolraich Pediatrics 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 2006-03-12
1740258052 Loy Donna Markland Pediatrics 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 2006-03-11
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Competitor

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City TULSA
Zip Code 74135

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Dataset Information

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.

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