William T Fullam Iii (NPI# 1023232105, PAC ID# 6608947833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1023232105 |
| PAC ID by PECOS | 6608947833 |
| Professional Enrollment ID | I20080617000012 |
| Full Name | William T Fullam Iii |
| Organization Legal Name | PREMIER ANESTHESIA OF SANDUSKY INC |
| Address |
1111 Hayes Ave Sandusky OH 44870-3323 |
| Phone Number | 4402338181 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8921087412 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360025 | FIRELANDS REGIONAL MEDICAL CENTER |
| 361314 | H B MAGRUDER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1111 Hayes Ave, Sandusky, OH 44870-3323 | 4402338181 | PREMIER ANESTHESIA OF SANDUSKY INC |
| Organization Legal Name | PREMIER ANESTHESIA OF SANDUSKY INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keven L Deeter | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Satya S Gorty | Anesthesiology | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Bradley William Mitchel | Anesthesiology | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Wayne D Traetow | Anesthesiology | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Robert M Kerro Jr. | Anesthesiology | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| David W Riemann | Anesthesiology | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Dean Rosiar | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Bernice Christine Jacobs | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| John Michael Swain | Anesthesiology | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Kearsten M Tieche | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Street Address |
1111 HAYES AVE |
| City | SANDUSKY |
| State | OH |
| Zip | 44870-3323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher E Avendano | Pulmonary Disease | North Coast Professional Company, LLC | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| John A Smith | Emergency Medicine | Firelands Regional Medical Center | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Jeffrey L Buehrer | Vascular Surgery | Firelands Regional Medical Center | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Adeyemi Marcus | Psychiatry | North Coast Professional Company, LLC | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Kanika Ahuja | Hospitalist | North Coast Professional Company, LLC | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Ruta Semaskiene | Hospitalist | North Coast Professional Company, LLC | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Thomas Anthony Olexa | Orthopedic Surgery | North Coast Professional Company, LLC | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Keven L Deeter | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Lynn A Stackhouse | Nurse Practitioner | North Coast Professional Company, LLC | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Satya S Gorty | Anesthesiology | Premier Anesthesia of Sandusky Inc | 1111 Hayes Ave, Sandusky, OH 44870-3323 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan A Gallagher | Internal Medicine | Gallagher and Gallagher | 149 E Water St, Sandusky, OH 44870-2525 |
| Susan Lowell | Clinical Social Worker | 143 E Water St, Sandusky, OH 44870-2525 | |
| James P Gallagher | Internal Medicine | Gallagher and Gallagher | 149 E Water St, Sandusky, OH 44870-2525 |
| Carlos Lowell | Psychiatry | 143 E Water St, Sandusky, OH 44870-2525 | |
| Edward Radatz Jr. | Emergency Medicine | Family Health Services of Erie County | 620 E Water St, Suite A, Sandusky, OH 44870-2874 |
| Katherine K Myerholtz | Nurse Practitioner | Family Health Services of Erie County | 620 E Water St, Suite A, Sandusky, OH 44870-2874 |
| Laura E Spasic | Nurse Practitioner | Family Health Services of Erie County | 620 E Water St, Suite A, Sandusky, OH 44870-2874 |
| Caitlin E Morris-syverson | Nurse Practitioner | Family Health Services of Erie County | 620 E Water St, Suite A, Sandusky, OH 44870-2874 |
| Harris S Schild | Ophthalmology | Drs. Pfahl and Schild, Inc | 1200 Prospect St, Sandusky, OH 44870-3214 |
| Gregory A Surfield | Plastic and Reconstructive Surgery | 701 Tyler St, Suite 301, Sandusky, OH 44870-3321 | |
| Find all physicians in zip 44870 | |||
| City | SANDUSKY |
| Zip Code | 44870 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SANDUSKY + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on William T Fullam Iii.
| 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.