Kenneth D Fulks (NPI# 1144237751, PAC ID# 3971637463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1144237751 |
| PAC ID by PECOS | 3971637463 |
| Professional Enrollment ID | I20100819000628 |
| Full Name | Kenneth D Fulks |
| Organization Legal Name | MAURY REGIONAL MEDICAL GROUP INC |
| Address |
1601 Hatcher Ln Columbia TN 38401-4826 |
| Phone Number | 9313812802 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 7911810742 |
| Number of Group Practice Members | 142 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440073 | MAURY REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1601 Hatcher Ln, Columbia, TN 38401-4826 | 9313812802 | MAURY REGIONAL MEDICAL GROUP INC |
| Organization Legal Name | MAURY REGIONAL MEDICAL GROUP INC |
| Physicians | 117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Bilbao | Family Medicine | Maury Regional Medical Group Inc | 200 S Cross Bridges Rd, Mt Pleasant, TN 38474-1714 |
| Matthew R Endara | Plastic and Reconstructive Surgery | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Fl 3, Waynesboro, TN 38485-2440 |
| Billy Dean Bailey | Rheumatology | Maury Regional Medical Group Inc | 1114 W 7th St, Columbia, TN 38401-3257 |
| Manisha Raj | Internal Medicine | Maury Regional Medical Group Inc | 1224 Trotwood Ave, Columbia, TN 38401-4802 |
| Patrick T Davis | General Surgery | Maury Regional Medical Group Inc | 1222 Trotwood Ave, Suite 603, Columbia, TN 38401-6410 |
| John S Jensen | Pulmonary Disease | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Mark H Messenger | Hematology/oncology | Maury Regional Medical Group Inc | 808 S James Campbell Blvd, Columbia, TN 38401 |
| Robert M Connors | Physician Assistant | Maury Regional Medical Group Inc | 854 W James Campbell Blvd, Columbia, TN 38401-4672 |
| Jennifer J Feldhaus | Internal Medicine | Maury Regional Medical Group Inc | 1224 Trotwood Ave, Columbia, TN 38401-4802 |
| Anthony D Haase | Internal Medicine | Maury Regional Medical Group Inc | 1224 Trotwood Ave, Columbia, TN 38401-4802 |
| Street Address |
1601 HATCHER LN |
| City | COLUMBIA |
| State | TN |
| Zip | 38401-4826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin B Pinkston | Family Medicine | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Mark H Messenger | Hematology/oncology | Maury Regional Medical Group Inc | 808 S James Campbell Blvd, Columbia, TN 38401 |
| Thomas W Farmer | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Lori S James | Nurse Practitioner | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Charles A Ball | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Ben A Gardner | Internal Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Gina B Graves | Nurse Practitioner | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Haley Kimbrell | Nurse Practitioner | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Leslie A Fort | Nurse Practitioner | Nashville Pain and Wellness Center Pllc | 1040 N James Campbell Blvd, Suite 108, Columbia, TN 38401 |
| Richard J Muench | Pain Management | Sun-young, Pllc | 1040 N James Campbell Blvd, Suite 108, Columbia, TN 38401 |
| Find all physicians in zip 38401 | |||
| City | COLUMBIA |
| Zip Code | 38401 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | COLUMBIA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Kenneth D Fulks.
| 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.