David G Fuller (NPI# 1033149448, PAC ID# 8527099878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1033149448 |
PAC ID by PECOS | 8527099878 |
Professional Enrollment ID | I20050825000935 |
Full Name | David G Fuller |
Address |
2209 Coffee Rd Suite I Modesto CA 95355-2360 |
Phone Number | 2095266400 |
Gender | M |
Credential | MD |
Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1989 |
Primary Specialty | FAMILY PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050464 | DOCTORS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2209 Coffee Rd, Suite I, Modesto, CA 95355-2360 | 2095266400 |
Street Address |
2209 COFFEE RD SUITE I |
City | MODESTO |
State | CA |
Zip | 95355-2360 |
Name | Specialty | Organization | Address |
---|---|---|---|
Binh T Dang | Family Medicine | 2209 Coffee Rd, Suite I, Modesto, CA 95355-2360 |
Name | Specialty | Organization | Address |
---|---|---|---|
Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
Find all physicians in zip 95355 |
City | MODESTO |
Zip Code | 95355 |
Specialty | FAMILY PRACTICE |
City + Specialty | MODESTO + FAMILY PRACTICE |
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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.