Angela K Fuller (NPI# 1962596536, PAC ID# 9436103801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962596536 |
| PAC ID by PECOS | 9436103801 |
| Professional Enrollment ID | I20050309000050 |
| Full Name | Angela K Fuller |
| Organization Legal Name | TOMAH MEMORIAL HOSPITAL INC |
| Address |
321 Butts Ave Tomah WI 54660-1412 |
| Phone Number | 6083722181 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901897016 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521320 | TOMAH MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 321 Butts Ave, Tomah, WI 54660-1412 | 6083722181 | TOMAH MEMORIAL HOSPITAL INC |
| Organization Legal Name | TOMAH MEMORIAL HOSPITAL INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Tvedten | Orthopedic Surgery | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| Kimberly Ann Tozer | Certified Registered Nurse Anesthetist (crna) | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| David Demask | Certified Registered Nurse Anesthetist (crna) | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| Craig A Haberman | General Surgery | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| Mitchelle L Schroader | Nurse Practitioner | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| Jill E Boulden | Family Medicine | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| James H Piper | Certified Registered Nurse Anesthetist (crna) | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| Rebecca A Liebert | Nurse Practitioner | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| America A Fushianes | Nurse Practitioner | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| Paul L Liebert | Orthopedic Surgery | Tomah Memorial Hospital Inc | 501 Gopher Dr, Tomah, WI 54660-4513 |
| Street Address |
321 BUTTS AVE |
| City | TOMAH |
| State | WI |
| Zip | 54660-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyndell M Wedyke | Certified Nurse Midwife (cnm) | Gundersen Clinic Ltd | 321 Butts Ave, Tomah, WI 54660-1412 |
| Sharel A Martin | Family Practice | Tomah Memorial Hospital Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Sue E Wilson | Physical Therapy | Mayo Clinic Health System Franciscan Medical Center Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Richard W Banks | Orthopedic Surgery | Tomah Memorial Hospital Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Peter J Hansen | Physical Therapy | Mayo Clinic Health System Franciscan Medical Center Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Denise Weber | Clinical Social Worker | Mayo Clinic Health System Franciscan Medical Center Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Ashley K Path | Nurse Practitioner | Tomah Memorial Hospital Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Kelly S Thayer | Nurse Practitioner | Tomah Memorial Hospital Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Michelle R Miller | Physician Assistant | Mayo Clinic Health System - Franciscan Medical Center Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Kelli K Welper | Occupational Therapy | Mayo Clinic Health System - Franciscan Medical Center Inc | 321 Butts Ave, Tomah, WI 54660-1412 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla J Gilman | Nurse Practitioner | Gundersen Clinic Ltd | 1021 N Superior Ave, Tomah, WI 54660-1100 |
| Lindsey A Shaw | Chiropractic | Tomah Chiropractic Clinic | 500 N Superior Ave, Tomah, WI 54660-1114 |
| Kelly D Rudd | Chiropractic | Tomah Chiropractic Clinic | 500 N Superior Ave, Tomah, WI 54660-1114 |
| David P Larsen | Optometry | Gundersen Clinic Ltd | 1330 N Superior Ave, Tomah, WI 54660-1130 |
| Karen S Anderson | Certified Nurse Midwife | Gundersen Clinic Ltd | 1330 N Superior Ave, Tomah, WI 54660-1130 |
| Michael T Pace | Family Practice | Gundersen Clinic Ltd | 1330 N Superior Ave, Tomah, WI 54660-1130 |
| James M Rasmusson | Chiropractic | Tomah Chiropractic Clinic | 200 W Warren St, Tomah, WI 54660-1158 |
| April Dawn Lincoln | Clinical Social Worker | 1021 N Superior Ave, Suite 13, Tomah, WI 54660-1192 | |
| Lisa C Mycanka | Clinical Social Worker | Mayo Clinic Health System Franciscan Medical Center Inc | 325 Butts Ave, Tomah, WI 54660-1412 |
| Barbara Helgeson | Physical Therapy | Mayo Clinic Health System Franciscan Medical Center Inc | 325 Butts Ave, Tomah, WI 54660-1412 |
| Find all physicians in zip 54660 | |||
| City | TOMAH |
| Zip Code | 54660 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TOMAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela K 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.