Carolyn A Fullmer (NPI# 1275686669, PAC ID# 7012073737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275686669 |
| PAC ID by PECOS | 7012073737 |
| Professional Enrollment ID | I20090304000809 |
| Full Name | Carolyn A Fullmer |
| Organization Legal Name | CHEWELAH ASSOCIATED PHYSICIANS PS |
| Address |
410 E King St Chewelah WA 99109-9302 |
| Phone Number | 5099358711 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537057765 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501309 | PROVIDENCE ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 410 E King St, Chewelah, WA 99109-9302 | 5099358711 | CHEWELAH ASSOCIATED PHYSICIANS PS |
| Organization Legal Name | CHEWELAH ASSOCIATED PHYSICIANS PS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Boone | Family Medicine | Chewelah Associated Physicians Ps | 410 E King St, Chewelah, WA 99109-9302 |
| James G Sisco | Family Medicine | Chewelah Associated Physicians Ps | 410 E King St, Chewelah, WA 99109-9302 |
| Street Address |
410 E KING ST |
| City | CHEWELAH |
| State | WA |
| Zip | 99109-9302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Boone | Family Medicine | Chewelah Associated Physicians Ps | 410 E King St, Chewelah, WA 99109-9302 |
| James G Sisco | Family Medicine | Chewelah Associated Physicians Ps | 410 E King St, Chewelah, WA 99109-9302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| J Scott S Kohlstedt | Optometry | 201 E Main Ave, Chewelah, WA 99109-5012 | |
| Bradley David Haslam | Chiropractic | 301 E Clay Ave, Suite 219, Chewelah, WA 99109-8936 | |
| Liesl K Pavlic | Internal Medicine | New Health Programs Association | 518 Clay Ave E, Chewelah, WA 99109-8947 |
| Shirley G Wagoner | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| Kay Gentry | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| Matthew P Dinsmore | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| John R Champion | Chiropractic | 103 E Main Ave, Chewelah, WA 99109-8960 | |
| Steven A Weatherman | Chiropractic | 306 E Main St, Chewelah, WA 99109-8962 | |
| Romeo A Pavlic | Cardiovascular Disease (cardiology) | 303 E King Ave, Chewelah, WA 99109-8998 | |
| Jodi L Bailey | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Find all physicians in zip 99109 | |||
| City | CHEWELAH |
| Zip Code | 99109 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHEWELAH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carolyn A Fullmer.
| 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.