Joshua R Fullmer


Address: 264 E Main St, Rexburg, ID 83440-2021

Joshua R Fullmer (NPI# 1447301395, PAC ID# 3678664786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1447301395
PAC ID by PECOS 3678664786
Professional Enrollment ID I20070803000287
Full Name Joshua R Fullmer
Address 264 E Main St
Rexburg
ID 83440-2021
Gender M
Medical School UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130025 MADISON MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
264 E Main St, Rexburg, ID 83440-2021

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 264 E MAIN ST
City REXBURG
State ID
Zip 83440-2021

Physicians in the same zip code

Name Specialty Organization Address
Craig Benjamin Ashby Chiropractic 16 S 1st, Rexburg, ID 83440-0303
Adriann J Wilcox Nurse Practitioner Madison Co Memorial Hospital 393 E 2nd, Rexburg, ID 83440-1605
Corey T Rammell Family Medicine Madison Co Memorial Hospital 393 E 2nd, Rexburg, ID 83440-1605
Joseph E Watson Family Medicine Madison Co Memorial Hospital 393 E 2nd, Rexburg, ID 83440-1605
Matheau G Eysser Orthopedic Surgery Madison Co Memorial Hospital 393 E 2nd, Rexburg, ID 83440-1605
Zachery M Brunson Physician Assistant Madison Co Memorial Hospital 393 E 2nd, Rexburg, ID 83440-1605
Charles J Zollinger Family Medicine Madison Co Memorial Hospital 393 E 2nd, Rexburg, ID 83440-1605
Rex Meredith Physician Assistant Madison Co Memorial Hospital 393 E 2nd, Rexburg, ID 83440-1605
Wade D Gordon Clinical Social Worker 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606
Jody B Rawlings Physical Therapy 217 N 2nd, Rexburg, ID 83440-1621
Find all physicians in zip 83440

Competitor

Search similar physicians

City REXBURG
Zip Code 83440
Specialty OPHTHALMOLOGY
City + Specialty REXBURG + OPHTHALMOLOGY

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Dataset Information

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.

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