Kelley Ann Fulghum (NPI# 1770926933, PAC ID# 5698996395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770926933 |
| PAC ID by PECOS | 5698996395 |
| Professional Enrollment ID | I20160915001252 |
| Full Name | Kelley Ann Fulghum |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
181 E Medical Tower Dr Murray UT 84107-4872 |
| Phone Number | 8013144266 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460044 | ALTA VIEW HOSPITAL |
| 460049 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| 460047 | ST MARK'S HOSPITAL |
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 181 E Medical Tower Dr, Murray, UT 84107-4872 | 8013144266 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
181 E MEDICAL TOWER DR |
| City | MURRAY |
| State | UT |
| Zip | 84107-4872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annjanette Rapier | Nurse Practitioner | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Sally M Tran | Family Medicine | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Chad Alan Spain | Family Medicine | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Franz Medina Monroy | Family Medicine | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Mark Asher Merkley | Otolaryngology | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Douglas Roland Smith | Family Medicine | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Brigid A O'donnell | Nurse Practitioner | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Mark W Lee | Family Medicine | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Brett Matthew Porter | Geriatric Medicine | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Elizabeth Batcher | Endocrinology | Ihc Health Services Inc | 181 E Medical Tower Dr, Murray, UT 84107-4872 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | MURRAY |
| Zip Code | 84107 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MURRAY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kelley Ann Fulghum.
| 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.