Philip B Fuller (NPI# 1952390478, PAC ID# 2466559422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1952390478 |
| PAC ID by PECOS | 2466559422 |
| Professional Enrollment ID | I20070525000476 |
| Full Name | Philip B Fuller |
| Organization Legal Name | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Address |
1101 Sam Perry Blvd Fredericksburg VA 22401-4466 |
| Phone Number | 5407417846 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1973 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE |
| Group Practice PAC ID | 2769546530 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490022 | MARY WASHINGTON HOSPITAL, INC |
| 490140 | STAFFORD HOSPITAL, LLC |
| Address | Phone | Organization |
|---|---|---|
| 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4466 | 5407417846 | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| 1101 Sam Perry Blvd, Suite 411, Fredericksburg, VA 22401-4466 | 5407417846 | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Organization Legal Name | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Alice Argo | Nurse Practitioner | Mary Washington Healthcare Physicians | 11 Smokehouse Dr, Suite 101, Fredericksburg, VA 22406-8455 |
| Teresa Kerge | Physical Medicine and Rehabilitation | Mary Washington Healthcare Physicians | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 |
| Agostino Visioni | Neurosurgery | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4466 |
| Maurice Stephen Mandell Jr. | Internal Medicine | Mary Washington Healthcare Physicians | 121 Courthouse Ln, Bowling Green, VA 22427-9336 |
| Stephani C Lowery | Nurse Practitioner | Mary Washington Healthcare Physicians | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Carol Campbell | Nurse Practitioner | Mary Washington Healthcare Physicians | 8051 Prosperity Way, Suite 100, Ruther Glen, VA 22546-5812 |
| Victoria E Grady | Internal Medicine | Mary Washington Healthcare Physicians | 10620 Spotsylvania Ave, Fredericksburg, VA 22408-2637 |
| Lasandra Denise Jackson | General Surgery | Mary Washington Healthcare Physicians | 125 Hospital Ctr Blvd, Suite 309, Stafford, VA 22554-6204 |
| Bhavin S Suthar | Interventional Pain Management | Mary Washington Healthcare Physicians | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 |
| Carol A Keenan | Physical Therapy | Mary Washington Healthcare Physicians | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 |
| Street Address |
1101 SAM PERRY BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip | 22401-4466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Agostino Visioni | Neurosurgery | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4466 |
| Maha Alattar | Neurology | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 411, Fredericksburg, VA 22401-4466 |
| Bradley Allen Dengler | Neurosurgery | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4466 |
| Sarah Vitaletti | Nurse Practitioner | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4465 |
| Maitri Shelly Kalia-reynolds | Endocrinology | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 305, Fredericksburg, VA 22401-4465 |
| Zeenat Patel | Obstetrics/gynecology | Elite Womens Health Inc | 1101 Sam Perry Blvd, Suite 401, Fredericksburg, VA 22401-4466 |
| Reshma S Parab | Endocrinology | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 121, Fredericksburg, VA 22401-4465 |
| Mahdere Asfaw | Internal Medicine | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 305, Fredericksburg, VA 22401-4465 |
| Lisa Keel | Nurse Practitioner | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4465 |
| Frehiwot Derbew Temesgen | Neurology | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 414, Fredericksburg, VA 22401-4466 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt R Larson | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Steven J Ma | Family Medicine | 605 Jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401 | |
| Anders C Brandt | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joseph P Gowaty | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Timothy Neary | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond K Chung | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Scott M Krushinski | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond S Kirchmier Jr. | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Allison N Baldwin | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joanne M Kaiman | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Find all physicians in zip 22401 | |||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | FREDERICKSBURG + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Philip B 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.