DR. ERIC J. FULNECKY (NPI# 1922176635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922176635 |
| Entity Type | Individual |
| Full Name | DR. ERIC J. FULNECKY |
| Credential | MD |
| Practice Address |
1900 S National Ave Suite 2955 Springfield MO 65804-2265 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178203905 |
| Practice Fax Number | 4178203528 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
2004006990 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00207385 | 01 | |
| MO | 209153907 | 05 | |
| TRICARE | 431560263 | 01 |
| Street Address |
1900 S NATIONAL AVE SUITE 2955 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235192253 | Soubhagyalakshmi Parvathaneni | Internal Medicine | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2006-04-10 |
| 1710127642 | Bethany S. Palmer | Physician Assistant | 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 | 2009-03-05 |
| 1093911240 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-06-25 |
| 1003959099 | Michael P. Smith-o'brien | Obstetrics & Gynecology | 1900 S National Ave, Suite 2970, Springfield, MO 65804-2265 | 2007-02-15 |
| 1912049396 | Wendy J Heilman | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| 1972645117 | Timothy O Pruett | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| 1942342654 | Robert F. Fraser II | Obstetrics & Gynecology | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-02-12 |
| 1407914468 | Robert L. Swords Jr. | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-04 |
| 1932277613 | William W. Sistrunk | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-01 |
| 1366519464 | Roger E. Huckfeldt | Surgery | 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 | 2006-11-30 |
| Find all providers in the same location | ||||
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396284303 | Southwest Missouri Infectious Disease LLC | Internal Medicine | 2872 S Forrest Heights Ave, Springfield, MO 65809-3417 | 2017-02-23 |
| 1548524218 | Blessy John | Internal Medicine | 2115 S Fremont Ave Ste 3050, Springfield, MO 65804-2236 | 2012-06-27 |
| 1588685986 | Nhat M. Doan | Internal Medicine | 6501 Loisdale Ct Fl 6, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150-1826 | 2006-07-21 |
| 1609834662 | Claudia T Martorell | Internal Medicine | 57 Mulberry St., Springfield, MA 01105 | 2006-05-01 |
| 1497756092 | Robert Philip Hoffman | Internal Medicine | 300 Stafford St, Suite 306, Springfield, MA 01104-3581 | 2005-08-03 |
| 1124401070 | Zainab Alnafoosi | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2015-07-09 |
| 1700268216 | Lyndsey Heise | Internal Medicine | 900 N 1st St, Springfield, IL 62702-3749 | 2015-06-19 |
| 1295172344 | Jacob M Smith | Internal Medicine | 3300 Main Street, 3rd Fl, Suite C&d, Springfield, MA 01107 | 2013-05-30 |
| 1114284890 | Megan Carol Gallagher | Internal Medicine | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2012-04-18 |
| 1730446535 | Megan D. Edwards | Internal Medicine | 11 Wilbraham Rd, Springfield, MA 01109 | 2012-04-18 |
| 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.