Daniel Fulk (NPI# 1962432286, PAC ID# 1658328315) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1962432286 |
| PAC ID by PECOS | 1658328315 |
| Professional Enrollment ID | I20110811000429 |
| Full Name | Daniel Fulk |
| Organization Legal Name | RADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD |
| Address |
1200 Cedar Ct Carbondale IL 62901-5334 |
| Phone Number | 6185298500 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9335249606 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3065 William, Cape Girardeau, MO 63703-6393 | 5733328300 | RADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD |
| 1200 Cedar Ct, Carbondale, IL 62901-5334 | 6185298500 | RADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD |
| Organization Legal Name | RADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD |
| Physicians | 1 |
| Street Address |
1200 CEDAR CT |
| City | CARBONDALE |
| State | IL |
| Zip | 62901-5334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas L Fulk | Diagnostic Radiology | 1200 Cedar Ct, Carbondale, IL 62901-5334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Nichole Dinga | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Carlos Mario Rivera Serrano | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Kelli Nicole Webb | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Fakhre Alam | Neurology | 2731 W Main St, Suite A, Carbondale, IL 62901-1028 | |
| Muhammad J Popalzai | Hematology/oncology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Melissa Andrea Martinez Mateo | Gastroenterology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Lukas John Ward | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Emily D Hanson | Family Medicine | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Phillip A Dewey | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Jessie Nicole Fox | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Find all physicians in zip 62901 | |||
| City | CARBONDALE |
| Zip Code | 62901 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CARBONDALE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Daniel Fulk.
| 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.