Stephen C Fuller (NPI# 1003802638, PAC ID# 0042209470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003802638 |
| PAC ID by PECOS | 0042209470 |
| Professional Enrollment ID | I20040510001458 |
| Full Name | Stephen C Fuller |
| Organization Legal Name | PRIMARY CARE ASSOCIATES OF APPLETON, LTD |
| Address |
3916 N Intertech Ct Appleton WI 54913-6957 |
| Phone Number | 9209961000 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052348612 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 3916 N Intertech Ct, Appleton, WI 54913-6957 | 9209961000 | PRIMARY CARE ASSOCIATES OF APPLETON, LTD |
| Organization Legal Name | PRIMARY CARE ASSOCIATES OF APPLETON, LTD |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Rockweiler | Physician Assistant | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Merici A Awe | Family Medicine | Primary Care Associates of Appleton, Ltd | 59 Park Pl, Suite 100, Appleton, WI 54914-8230 |
| Steven J Hagen | Family Practice | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Samuel Heiks | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Stephen R Dernlan | Internal Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Edward J Szabo | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Travis L Kroner | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Scott Gyorog | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Douglas R Meyer | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Amy H Servais | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Street Address |
3916 N INTERTECH CT |
| City | APPLETON |
| State | WI |
| Zip | 54913-6957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Rockweiler | Physician Assistant | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Samuel Heiks | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Stephen R Dernlan | Internal Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Edward J Szabo | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Travis L Kroner | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Scott Gyorog | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Douglas R Meyer | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Amy H Servais | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Gehrig R Williamson | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Aaron S Douglas | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent R Weed | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Peter J Katz | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Marcella K Teske | Nurse Practitioner | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Michelle D Lewis | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Noam Littman | Diagnostic Radiology | Synergy Radiology Associates Pllc | 4528 N Grassmere Ct, Appleton, WI 54913-6809 |
| Steven J Hagen | Family Practice | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Jonathan E Hagen | Family Practice | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Judith M Anderson | Nurse Practitioner | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Christina L Carnes | Physician Assistant | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Michelle H Williamson | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Find all physicians in zip 54913 | |||
| City | APPLETON |
| Zip Code | 54913 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | APPLETON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephen C Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.