BARBARA L FULLER (NPI# 1972545804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972545804 |
| Entity Type | Individual |
| Full Name | BARBARA L FULLER |
| Credential | MD |
| Practice Address |
1600 S Lake Park Ave Suite1101 Hobart IN 46342-6641 |
| Mailing Address |
1600 S Lake Park Ave Suite 1101 Hobart IN 46342-6641 |
| Practice Telephone | 2199471795 |
| Mailing Telephone | 2199471795 |
| Mailing Fax Number | 2199479834 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01034701A | IN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036056161 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100213850F | 05 | |
| IN | 100394430 | 05 | |
| IL | 036056161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1396962320 | Barbara Jeanne Fuller | Contractor | 458 Forward Pass Rd Sw, Pataskala, OH 43062-7429 | 2007-04-19 |
| 1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
| 1861467896 | Barbara B Fuller | Social Worker | 800 N Ferncreek Ave, Suite 2, Orlando, FL 32803-4127 | 2006-02-22 |
| 1427553494 | Barbara Fuller | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-03-29 |
| 1790091346 | Barbara Jo Fuller | Counselor | 1350 N Orange Ave, Suite 223, Winter Park, FL 32789-4945 | 2010-08-20 |
| 1760712210 | Barbara Ann Fuller | Physical Therapist | 1206 E 9th St, Suite 160, Lockport, IL 60441-2404 | 2010-01-06 |
| 1154398725 | Barbara B Fuller | Physical Therapist | 4930 Mcleod Rd Ne, Albuquerque, NM 87109 | 2006-03-02 |
| Street Address |
1600 S LAKE PARK AVE SUITE1101 |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306799 | Mohamed F Zeitoun | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-04-19 |
| 1649570219 | Jennifer Louise Green | Nurse Practitioner | 1600 S Lake Park Ave, Ste 1103, Hobart, IN 46342-6641 | 2010-10-28 |
| 1336457225 | St Mary Medical Center Inc | Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-09-14 |
| 1598070617 | Munster Medical Research Foundation Inc | Neurological Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-08-12 |
| 1811177785 | Spinal & Neurosurgical Institute P.C. | Neurological Surgery | 1600 S Lake Park Ave, Ste 1102, Hobart, IN 46342-6641 | 2007-11-08 |
| 1598818270 | Mark A Simaga | Neurological Surgery | 1600 S Lake Park Ave, Suite 1102, Hobart, IN 46342-6641 | 2007-01-18 |
| 1619986379 | Advanced Endocrinology and Diabetes Center | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-08-05 |
| 1386686145 | Monroe Medical Associates, Sc | Internal Medicine | 1600 S Lake Park Ave, Suite 1101, Hobart, IN 46342-6641 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1386686145 | Monroe Medical Associates, Sc | Internal Medicine | 1600 S Lake Park Ave, Suite 1101, Hobart, IN 46342-6641 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
| 1194986703 | Brian Christopher Myre | Internal Medicine | 6111 Harrison St Ste 200, Merrillville, IN 46410-2972 | 2008-06-17 |
| 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.