Larry E Fultz (NPI# 1164693172, PAC ID# 1759410921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1164693172 |
| PAC ID by PECOS | 1759410921 |
| Professional Enrollment ID | I20100526000589 |
| Full Name | Larry E Fultz |
| Organization Legal Name | WHITE MARSH PSYCHIATRIC ASSOCIATES, LLC |
| Address |
5024 Campbell Blvd Suite H Baltimore MD 21236-5974 |
| Phone Number | 4109319280 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3072681105 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 | 4109319280 | WHITE MARSH PSYCHIATRIC ASSOCIATES, LLC |
| Organization Legal Name | WHITE MARSH PSYCHIATRIC ASSOCIATES, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Efim Weinman | Psychiatry | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Judith C Tenhunen | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Nancy N Funk | Nurse Practitioner | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Robin I Lerner | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Joseph R Kachik Jr. | Psychologist, Clinical | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Dianne H Decubellis | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Travis C Frank | Psychologist, Clinical | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Ana R Soule | Nurse Practitioner | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Hugh G Ward | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Gideon Eisenberg | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Street Address |
5024 CAMPBELL BLVD SUITE H |
| City | BALTIMORE |
| State | MD |
| Zip | 21236-5974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Efim Weinman | Psychiatry | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Judith C Tenhunen | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Nancy N Funk | Nurse Practitioner | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Robin I Lerner | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Joseph R Kachik Jr. | Psychologist, Clinical | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Dianne H Decubellis | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Travis C Frank | Psychologist, Clinical | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Ana R Soule | Nurse Practitioner | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Hugh G Ward | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Gideon Eisenberg | Clinical Social Worker | White Marsh Psychiatric Associates, LLC | 5024 Campbell Blvd, Suite H, Baltimore, MD 21236-5974 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille B Madison | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Erin E Derenick | Physical Therapy | Gold Medal Physical Therapy LLC | 9634 Bel Air Rd, Perry Hall, MD 21236 |
| Andrew Davis | Psychiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Alyssa M Mathew | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Kiersten E Kilczewski | Physical Therapy | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Tamischer B Nettles | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Meeta Gulati | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Jenaro John Hernandez | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Julian Barkan | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Jamille Patrice Taylor | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Find all physicians in zip 21236 | |||
| City | BALTIMORE |
| Zip Code | 21236 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BALTIMORE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Larry E 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.