DR. STEPHANIE ROSE FULLER (NPI# 1013234244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013234244 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE ROSE FULLER |
| Credential | D.O. |
| Practice Address |
5201 Harry Hines Blvd Graduate Medical Education Dallas TX 75235-7708 |
| Mailing Address |
6451 Brentwood Stair Rd Ste 200 Fort Worth TX 76112-3200 |
| Practice Telephone | 2145908058 |
| Mailing Telephone | 8174969700 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2013-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | P0584 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | P0584 | 01 |
| TX | DPS | H0182969 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644727 | Stephanie Danielle Fuller | Licensed Practical Nurse | 22 Montclair Ave, Buffalo, NY 14215-2124 | 2020-09-20 |
| 1780138305 | Stephanie Renee Fuller | Nurse Practitioner | 5556 Cantabria Dr, Dallas, TX 75248-6445 | 2016-08-11 |
| 1780619585 | Stephanie Fuller | Marriage & Family Therapist | 4555 El Camino Real Ste G, Atascadero, CA 93422-2700 | 2006-07-11 |
| 1548622178 | Stephanie Fuller | Nurse Practitioner | 1813 Willow St, Suite 3, Vincennes, IN 47591-4279 | 2016-03-23 |
| 1114389913 | Stephanie Fuller | Social Worker | 600 42nd St, Des Moines, IA 50312-2701 | 2016-03-22 |
| 1639418494 | Stephanie M Fuller | Specialist | 3515 Broadway Ave., Yankton, SD 57078-7600 | 2013-02-13 |
| 1013115930 | Stephanie Fuller | Surgery | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2007-07-03 |
| Street Address |
5201 HARRY HINES BLVD GRADUATE MEDICAL EDUCATION |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004449 | Polly Bennett Cordova | Advanced Practice Midwife | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2005-06-21 |
| 1316580368 | Natashea Lewis | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-10-22 |
| 1386285328 | Eva Kirara | Registered Nurse | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-10-01 |
| 1003467879 | Sunny Akwo Makolo | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-09-24 |
| 1396303236 | Alexandra D'oto | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-06-05 |
| 1154883072 | Patrick Ahern | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-04-01 |
| 1609337153 | Gianpaolo Carpinito | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-03-27 |
| 1104397827 | Danielle Theresa Brown | Physical Therapist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-12-06 |
| 1992274948 | Carol Chamberlain | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-20 |
| 1730657875 | Paul Tran | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1912537184 | Nuch of Texas | Emergency Medicine | 14201 Dallas Pkwy Ste 150, Dallas, TX 75254-2916 | 2020-01-16 |
| 1740827906 | Ziad A. Abdo, Md, P.a. | Emergency Medicine | 14731 Stanford Ct, Dallas, TX 75254-8471 | 2019-12-06 |
| 1174189815 | Alexander Wisbeck | Emergency Medicine | Emergency Medicine Dept. Utsw Medical Center, Dallas, TX 75390-8579 | 2019-05-17 |
| 1245797760 | Exceptional Physicians Group Pllc | Emergency Medicine | 1100 S Akard St, Dallas, TX 75215-1003 | 2019-02-21 |
| 1265812960 | Richard Philip Williams | Emergency Medicine | 5253 Harry Hines Blvd, Dallas, TX 75390-4993 | 2015-06-08 |
| 1356736524 | Hp Health Center, Pllc | Emergency Medicine | 9203 Skillman St Ste 126, Dallas, TX 75243-9036 | 2015-04-03 |
| 1578952354 | Arvin Radfar Akhavan | Emergency Medicine | 5511 Inverrary Ct, Dallas, TX 75287-7416 | 2015-01-15 |
| 1235543430 | Kneel and Youngblood | Emergency Medicine | 300 Crescent Ct, #1380, Dallas, TX 75201-1876 | 2014-06-16 |
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.