Alyssa Dean Fultz (NPI# 1033635297, PAC ID# 0244505535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033635297 |
| PAC ID by PECOS | 0244505535 |
| Professional Enrollment ID | I20171012002461 |
| Full Name | Alyssa Dean Fultz |
| Organization Legal Name | SAINT FRANCIS PHYSICIAN NETWORK, LLC |
| Address |
5959 Park Ave Memphis TN 38119-5200 |
| Phone Number | 9017653409 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365701943 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440183 | ST FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5959 Park Ave, Memphis, TN 38119-5200 | 9017653409 | SAINT FRANCIS PHYSICIAN NETWORK, LLC |
| 6005 Park Ave, Suite 323b, Memphis, TN 38119-5208 | 9017566991 | SAINT FRANCIS PHYSICIAN NETWORK, LLC |
| 6005 Park Ave, Suite 601, Memphis, TN 38119-5216 | 9016809205 | SAINT FRANCIS PHYSICIAN NETWORK, LLC |
| Organization Legal Name | SAINT FRANCIS PHYSICIAN NETWORK, LLC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emmily T Hurdle | Nurse Practitioner | Saint Francis Physician Network, LLC | 491 A Craft St, Holly Springs, MS 38635-3251 |
| Sarah Wredling | Nurse Practitioner | Saint Francis Physician Network, LLC | 4066 Summer Ave, Memphis, TN 38122-5225 |
| Kelly Yannizzi | Family Medicine | Saint Francis Physician Network, LLC | 9947 Wolf River Blvd, Suite 110, Germantown, TN 38139-5559 |
| Kristina G Boyette | Nurse Practitioner | Saint Francis Physician Network, LLC | 2996 Kate Bond Rd, Suite 205, Memphis, TN 38133-4062 |
| Michelle M Smothers | Nurse Practitioner | Saint Francis Physician Network, LLC | 5780 Airline Rd, Suite 112, Arlington, TN 38002-5982 |
| Sailaja Raju | Family Medicine | Saint Francis Physician Network, LLC | 2018 S Germantown Rd, Germantown, TN 38138-2844 |
| John Thomas Crews | Internal Medicine | Saint Francis Physician Network, LLC | 6644 Summer Knoll Cir, Memphis, TN 38134-2875 |
| Anna Martin Jackson | Family Medicine | Saint Francis Physician Network, LLC | 5142 Stage Rd, Suite 100, Bartlett, TN 38134-3164 |
| Jerry R Floyd | Family Medicine | Saint Francis Physician Network, LLC | 8507 Us Hwy 51 N, Suite 107, Millington, TN 38053-1535 |
| Rosemary P Jacobs | Nurse Practitioner | Saint Francis Physician Network, LLC | 8510 Wilkinsville Rd, Suite 104, Millington, TN 38053-1538 |
| Street Address |
5959 PARK AVE |
| City | MEMPHIS |
| State | TN |
| Zip | 38119-5200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Washington | Emergency Medicine | Tennessee Emergency Physicians, Pllc | 5959 Park Ave, Memphis, TN 38119-5200 |
| Martin A Duclos | Geriatric Medicine | Tennessee Group Services, Pllc | 5959 Park Ave, Memphis, TN 38119-5200 |
| Indurani Tejwani | Obstetrics/gynecology | Saint Francis Physician Network, LLC | 5959 Park Ave, Memphis, TN 38119-5200 |
| Vipul K Bhanderi | Hematology/oncology | Saint Francis Physician Network, LLC | 5959 Park Ave, Memphis, TN 38119-5200 |
| Quan Chen | Radiation Oncology | Radiation Oncology Memphis Pllc | 5959 Park Ave, Memphis, TN 38119-5200 |
| John W Bodford | Emergency Medicine | Tennessee Emergency Physicians, Pllc | 5959 Park Ave, Memphis, TN 38119-5200 |
| Mahadev R Patil | Anesthesiology | East Memphis Anesthesia Services Pllc | 5959 Park Ave, Memphis, TN 38119-5198 |
| Charles N Eisenhauer Iv | General Surgery | Saint Francis Physician Network, LLC | 5959 Park Ave, Memphis, TN 38119-5200 |
| Stephen Michael Desouza | Geriatric Medicine | Tennessee Group Services, Pllc | 5959 Park Ave, Memphis, TN 38119-5200 |
| Richard N Donlon | Emergency Medicine | Tennessee Emergency Physicians, Pllc | 5959 Park Ave, Memphis, TN 38119-5200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Bradley | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Suzanne Ward | Nurse Practitioner | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Karen L Manley | Occupational Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Spencer W Hauser | Orthopedic Surgery | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Dawn Michelle Bierdz | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Stephen Sittnick | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Morgan Lisner | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Jeffrey S Nelson | Hospice/palliative Care | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Mehmiya Z. Raghid | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Find all physicians in zip 38119 | |||
| City | MEMPHIS |
| Zip Code | 38119 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MEMPHIS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Alyssa Dean Fultz.
| 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.