Thomas Neal Fuller (NPI# 1295052199, PAC ID# 7719166503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1295052199 |
| PAC ID by PECOS | 7719166503 |
| Professional Enrollment ID | I20191022003865 |
| Full Name | Thomas Neal Fuller |
| Organization Legal Name | ANESTHESIA MEDICAL GROUP OF IMPERIAL VALLEY INC |
| Address |
751 W Legion Rd Suite 103 Brawley CA 92227-7754 |
| Phone Number | 7603514100 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9335379775 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 207 W Legion, Brawley, CA 92227-7780 | 7603513333 | ANESTHESIA MEDICAL GROUP OF IMPERIAL VALLEY INC |
| 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 | 7603514100 | ANESTHESIA MEDICAL GROUP OF IMPERIAL VALLEY INC |
| Organization Legal Name | ANESTHESIA MEDICAL GROUP OF IMPERIAL VALLEY INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Ilene Bero Alcantara | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 207 W Legion, Brawley, CA 92227-7780 |
| Nina N Thai | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 |
| Glenn A Clark | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 |
| Brittney Lyn Taylor | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 207 W Legion, Brawley, CA 92227-7780 |
| Nicole D Rubio | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 207 W Legion, Brawley, CA 92227-7780 |
| Sean Hutchison | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 207 W Legion, Brawley, CA 92227-7780 |
| Jaime A Englea Larra | Anesthesiology | Anesthesia Medical Group of Imperial Valley Inc | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 |
| Francis G Lum | Certified Registered Nurse Anesthetist | Anesthesia Medical Group of Imperial Valley Inc | 207 W Legion, Brawley, CA 92227-7780 |
| Street Address |
751 W LEGION RD SUITE 103 |
| City | BRAWLEY |
| State | CA |
| Zip | 92227-7754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Kurt Bivens | Plastic and Reconstructive Surgery | 751 W Legion Rd, Suite 300, Brawley, CA 92227-7755 | |
| Susan J Hahm | General Surgery | 751 W Legion Rd, Suite 305, Brawley, CA 92227-7755 | |
| Oscar A Lopez | Gastroenterology | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 | |
| Nina N Thai | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 |
| Natalia Babkina | Obstetrics/gynecology | Kestutis V. Kuraitis, M.d., Ph.d., Inc. | 751 W Legion Rd, Suite 204, Brawley, CA 92227-7755 |
| Glenn A Clark | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group of Imperial Valley Inc | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 |
| George C Fareed | Family Medicine | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 | |
| Kestutis V Kuraitis | Obstetrics/gynecology | Kestutis V. Kuraitis, M.d., Ph.d., Inc. | 751 W Legion Rd, Suite 204, Brawley, CA 92227-7755 |
| Jaime A Englea Larra | Anesthesiology | Anesthesia Medical Group of Imperial Valley Inc | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7754 |
| Mercy Diana Valenzuela | Certified Nurse Midwife (cnm) | 751 W Legion Rd, Suite 201, Brawley, CA 92227-7755 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben S Wehrli | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Douglas L Croff | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Claudia Jakiel | Physical Therapy | Mdrs Spine and Sport Inc | 411 W Main St, Suite 411, Brawley, CA 92227-2244 |
| Donald L Barniske | Optometry | 260 Main St, Brawley, CA 92227-2351 | |
| Alidad M Zadeh | Internal Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Lucian Oprea | Internal Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Yong Tan | Family Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Richard M Fitzsimmons | Nurse Practitioner | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Hussein El-newihi | Gastroenterology | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| John Allen Friedline | Family Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Find all physicians in zip 92227 | |||
| City | BRAWLEY |
| Zip Code | 92227 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BRAWLEY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Thomas Neal 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.