KISTI DAWN FULLER (NPI# 1912165713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912165713 |
| Entity Type | Individual |
| Full Name | KISTI DAWN FULLER |
| Other Name | KISTI DAWN POPE |
| Credential | MD |
| Practice Address |
1840 S Stapley Dr Ste 131 Mesa AZ 85204-6683 |
| Practice Telephone | 4809695999 |
| Practice Fax Number | 4809260852 |
| Mailing Telephone | 4809695999 |
| Mailing Fax Number | 4809260852 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
48767 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1912165713 | 05 |
| Street Address |
1840 S STAPLEY DR STE 131 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679537997 | Stephanie Martin | Obstetrics & Gynecology | 4864 E Baseline Rd Ste 101, Mesa, AZ 85206-4629 | 2006-04-13 |
| 1174866743 | Valley Perinatal Services, LLC | Obstetrics & Gynecology | 4864 E Baseline Rd Ste 101, Mesa, AZ 85206-4629 | 2013-04-02 |
| 1093050601 | Maternal Fetal Medicine of Arizona LLC | Obstetrics & Gynecology | 4852 E Baseline Rd, Ste 104, Mesa, AZ 85206-4627 | 2012-12-07 |
| 1811951122 | Robert N Wolfson | Obstetrics & Gynecology | 1940 S Country Club Dr, Suite120, Mesa, AZ 85210-6008 | 2006-04-13 |
| 1952360356 | Shirley Kiyoko Sawai | Obstetrics & Gynecology | 1940 S Country Club Dr, Suite 102, Mesa, AZ 85210-6008 | 2006-03-23 |
| 1164481156 | Marlin D. Mills | Obstetrics & Gynecology | 1940 S Country Club Dr, Suite 102, Mesa, AZ 85210-6008 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1629427554 | Arizona Perinatal Care Centers, LLC | Obstetrics & Gynecology | 15905 S 46th St, Suite A110, Phoenix, AZ 85048-7600 | 2016-06-10 |
| 1467725812 | Healthy Pregnancy Perinatology, LLC | Obstetrics & Gynecology | 5656 S Power Rd Ste 137, Gilbert, AZ 85295-8490 | 2012-02-15 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1225235922 | Scottsdale Perinatal Associates Pllc | Obstetrics & Gynecology | 14861 N Scottsdale Rd, 115, Scottsdale, AZ 85254-2787 | 2007-06-27 |
| 1396966537 | Roman Starikov | Obstetrics & Gynecology | 3877 North 7th Street, Suite 400, Phoenix, AZ 85014 | 2007-05-02 |
| 1285704213 | Gregg Giannina | Obstetrics & Gynecology | 8037 N Via Palma, Scottsdale, AZ 85258-2867 | 2006-11-08 |
| 1407957152 | Obstetrix Medical Group of Phoenix PC | Obstetrics & Gynecology | 3877 N 7th St Ste 400, Phoenix, AZ 85014-5061 | 2006-09-26 |
| 1811008253 | Christopher Andrew Sullivan | Obstetrics & Gynecology | 6060 N Fountain Plaza Dr Ste 200, Maternal Fetal Medicine Associates of Arizona, Tucson, AZ 85704-7872 | 2006-08-31 |
| 1114982394 | Richard Blumrick | Obstetrics & Gynecology | 1727 W Frye Rd, Suite 200, Chandler, AZ 85224-5295 | 2006-04-19 |
| Find all providers with the same taxonomy | ||||
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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.