Ingrid Fuller (NPI# 1063495828, PAC ID# 1456393685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063495828 |
| PAC ID by PECOS | 1456393685 |
| Professional Enrollment ID | I20050526000846 |
| Full Name | Ingrid Fuller |
| Organization Legal Name | UMASS MEMORIAL MEDICAL GROUP INC |
| Address |
24 Julio Dr Shrewsbury MA 01545-3053 |
| Phone Number | 5088451436 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284539891 |
| Number of Group Practice Members | 1403 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 24 Julio Dr, Shrewsbury, MA 01545-3053 | 5088451436 | UMASS MEMORIAL MEDICAL GROUP INC |
| Organization Legal Name | UMASS MEMORIAL MEDICAL GROUP INC |
| Physicians | 1450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pantea Ebrahimpour | Internal Medicine | Umass Memorial Medical Group Inc | 103 Millbury St, Auburn, MA 01501-3205 |
| Yonghyun Lee | Internal Medicine | Umass Memorial Medical Group Inc | 76 Summer St, Fitchburg, MA 01420-5783 |
| Amrutha Balakrishnan | Family Medicine | Umass Memorial Medical Group Inc | 640 Bolton St, Marlborough, MA 01752-3999 |
| Anupreet Oberoi | Family Medicine | Umass Memorial Medical Group Inc | 650 Boston Post Rd E, Marlborough, MA 01752-3724 |
| Mark Webster Maxfield | Thoracic Surgery | Umass Memorial Medical Group Inc | 67 Belmont St, Worcester, MA 01605-2657 |
| Barbara J Laforce | Nurse Practitioner | Umass Memorial Medical Group Inc | 47 Ashby State Rd, Fitchburg, MA 01420-2038 |
| Neety Patel | Family Medicine | Umass Memorial Medical Group Inc | 326 Nichols Rd, Fitchburg, MA 01420-5140 |
| Elizabeth B Pelkofski | Gynecological Oncology | Umass Memorial Medical Group Inc | 33 Kendall St, Worcester, MA 01605-2726 |
| Krunal Patel | Gastroenterology | Umass Memorial Medical Group Inc | 210 Lincoln St, Worcester, MA 01605-2529 |
| Gunardi Nyoto Irawan | Internal Medicine | Umass Memorial Medical Group Inc | 1 W Boylston St, Worcester, MA 01605-3501 |
| Street Address |
24 JULIO DR |
| City | SHREWSBURY |
| State | MA |
| Zip | 01545-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Burdulis | Family Medicine | Umass Memorial Medical Group Inc | 24 Julio Dr, Shrewsbury, MA 01545-3053 |
| Joseph F Daigneault | Family Medicine | Umass Memorial Medical Group Inc | 24 Julio Dr, Shrewsbury, MA 01545-3053 |
| Kristin A Mallett | Family Medicine | Umass Memorial Medical Group Inc | 24 Julio Dr, Shrewsbury, MA 01545-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramesh Donepudi | Internal Medicine | 26 Coachman Ridge Rd, Shrewsbury, MA 01545-1562 | |
| Angela Z Yang | Physical Medicine and Rehabilitation | 37 Minuteman Way, Shrewsbury, MA 01545-2229 | |
| Swarupa A Nishar | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Andrew M Young | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Matthew Read | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Pablo Maldonado Pinuer | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Jon M Dooley | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Jaclyn Riedel | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Kristina A Jaeckel | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Tarah R Joseph | Physical Therapy | Greendale Physical Therapy LLC | 280 Boston Tpke, Shrewsbury, MA 01545-2640 |
| Find all physicians in zip 01545 | |||
| City | SHREWSBURY |
| Zip Code | 01545 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHREWSBURY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ingrid 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.