Ashley Marie Fuller (NPI# 1235514258, PAC ID# 4486968492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235514258 |
| PAC ID by PECOS | 4486968492 |
| Professional Enrollment ID | I20150805006524 |
| Full Name | Ashley Marie Fuller |
| Organization Legal Name | COMMUNITY HEALTH CARE INC |
| Address |
500 W River Dr Davenport IA 52801-1014 |
| Phone Number | 5633363000 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830008895 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160080 | MERCY MEDICAL CENTER-CLINTON |
| Address | Phone | Organization |
|---|---|---|
| 500 W River Dr, Davenport, IA 52801-1014 | 5633363000 | COMMUNITY HEALTH CARE INC |
| Organization Legal Name | COMMUNITY HEALTH CARE INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Peter Roorda | Nurse Practitioner | Community Health Care Inc | 708 15th Ave, East Moline, IL 61244-2134 |
| Monique Ochoa | Family Medicine | Community Health Care Inc | 2750 11th St, Rock Island, IL 61201-5216 |
| Babatunde Emmanuel Aremu | Nurse Practitioner | Community Health Care Inc | 1106 4th Ave, Moline, IL 61265-1231 |
| Chiranjeevi Pramodna Siddagunta | Family Medicine | Community Health Care Inc | 925 S 4th St, Clinton, IA 52732-5726 |
| Stephanie Witherow | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Theresa Jennings | Nurse Practitioner | Community Health Care Inc | 1616 Cedar St, Muscatine, IA 52761-3453 |
| Bernard P Tadda | Nurse Practitioner | Community Health Care Inc | 2200 3rd Ave, Rock Island, IL 61201-8840 |
| John H Leno | Obstetrics/gynecology | Community Health Care Inc | 1106 4th Aveneue, Moline, IL 61265-1106 |
| Ashlee Renee Misiag | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Christina Camarena - Andrew | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Street Address |
500 W RIVER DR |
| City | DAVENPORT |
| State | IA |
| Zip | 52801-1014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Witherow | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Ashlee Renee Misiag | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Christina Camarena - Andrew | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Abbi A Madden | Obstetrics/gynecology | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Heather Jacobs | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Heather Morden | Nurse Practitioner | Community Health Care Inc | 500 W River Dr, Davenport, IA 52801-1014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Johnstone | Chiropractic | 400 N Main St, Suite 104, Davenport, IA 52801-1424 |
| City | DAVENPORT |
| Zip Code | 52801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAVENPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ashley Marie 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.