DR. ERIC J. FULNECKY


Address: 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265
Phone: 4178203905

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
2004006990 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P00207385 01
MO 209153907 05
TRICARE 431560263 01

Office Location

Street Address 1900 S NATIONAL AVE
SUITE 2955
City SPRINGFIELD
State MO
Zip Code 65804-2265

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SPRINGFIELD
Zip Code 65804

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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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