Keith L Fuller (NPI# 1730125527, PAC ID# 9335100148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730125527 |
| PAC ID by PECOS | 9335100148 |
| Professional Enrollment ID | I20051128000429 |
| Full Name | Keith L Fuller |
| Address |
2214 Gateway Dr C Opelika AL 36801-6832 |
| Gender | M |
| Credential | DO |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| 010168 | JACK HUGHSTON MEMORIAL HOSPITAL |
| 110129 | ST FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2214 Gateway Dr C, Opelika, AL 36801-6832 |
| Street Address |
2214 GATEWAY DR C |
| City | OPELIKA |
| State | AL |
| Zip | 36801-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Kelley | Nurse Practitioner | East Alabama Family Practice, P.C. | 2214 Gateway Dr C, Opelika, AL 36801-6832 |
| Jessica Knulth Melvin | Physician Assistant | East Alabama Family Practice, P.C. | 2214 Gateway Dr C, Opelika, AL 36801-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Roach | Family Medicine | 7667 Alabama Hwy 51, Suite B, Opelika, AL 36801 | |
| Moses M Jones | Family Medicine | Auburn Urgent Care, Inc | 2638 Enterprise Dr, Opelika, AL 36801-1512 |
| Kevin L Jackson | Internal Medicine | 2430 Village Professional Dr, Opelika, AL 36801-2378 | |
| Sandra J Whitaker | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Ann Hadley | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Smith | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| David Estep | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Peter J Lusche | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Sai K Nandamuru | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Erica Kierce | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Find all physicians in zip 36801 | |||
| City | OPELIKA |
| Zip Code | 36801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OPELIKA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith L 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.