FULLER FAMILY MEDICINE, PC (NPI# 1063700722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063700722 |
| Entity Type | Organization |
| Organization Name | FULLER FAMILY MEDICINE, PC |
| Practice Address |
4045 Avenue B Billings MT 59106 |
| Practice Telephone | 7132561801 |
| Practice Fax Number | 8324135904 |
| Mailing Telephone | 7132561801 |
| Mailing Fax Number | 8324135904 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |
| Authorized Official Name | RETHA H REEVES (ADMINISTRATOR) |
| Authorized Official Telephone | 7132561801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10392 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
4045 AVENUE B |
| City | BILLINGS |
| State | MT |
| Zip Code | 59106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831329804 | Melissa Lynn Fuller | Nurse Practitioner | 4045 Avenue B, Billings, MT 59106-1738 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752389 | Athena Rae Martell | Counselor | 1732 72nd St. W., Billings, MT 59106 | 2018-06-06 |
| 1376057596 | Sarah Kathleen Dickey | Pharmacist | 133 N 5th St #1, Columbus, MT 59106 | 2017-11-27 |
| 1003246158 | Sara Ellen Hughes-zabawa | Social Worker | 5606 Bobby Jones Blvd, Billings, MT 59106 | 2013-11-26 |
| 1750678538 | Jesse Lane Gray | Dentist | 625 Herry Chapple St, Billings, MT 59106 | 2011-06-30 |
| 1659520252 | Northern Rockies Neuro-spine, PC | Neurological Surgery | 3611 Tommy Armour Circle, Billings, MT 59106 | 2008-09-18 |
| 1073656567 | Summit Oral Surgery and Implant Center | Dentist | 625 Henry Chapple, Billings, MT 59106 | 2007-02-14 |
| 1720501570 | Yellowstone Boys and Girls Ranch | Clinic/Center | 1732 S 72nd St W, Billings, MT 59106 | 2017-07-24 |
| 1871031831 | Yellowstone Boys and Girls Ranch | Nurse Practitioner | 1732 S 72nd St W, Billings, MT 59106 | 2017-02-09 |
| 1386033355 | Brandi Mcferran | Social Worker | 1732 S 72nd St W, Billings, MT 59106 | 2015-01-14 |
| 1871831164 | Christine Kay Duda | Counselor | 1750 Ray of Hope Ln, Billings, MT 59106 | 2013-01-22 |
| Find all providers in zip 59106 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578872677 | Lawrence A Campodonico | Internal Medicine | 1511 Poly Dr., Billings, MT 59102 | 2010-10-07 |
| 1972677938 | Tracy Rausch | Internal Medicine | 4915 Custer Ave, Billings, MT 59106-2381 | 2006-11-20 |
| 1033203591 | Robert J. Sachs | Internal Medicine | 2825 8th Avenue North, Billings, MT 59101 | 2006-10-02 |
| 1285667816 | John Thieszen | Internal Medicine | 3528 Gabel Rd, Billings, MT 59102-7307 | 2006-07-08 |
| 1336186261 | Abdulmajeed Kadri | Internal Medicine | 2019 Broadwater Ave, Billings, MT 59102-4810 | 2006-05-31 |
| 1033164447 | Billings Clinic | Internal Medicine | 760 Wicks Ln, Billings, MT 59105-4427 | 2006-05-23 |
| 1407857360 | Douglas E Swift | Internal Medicine | 2223 Mission Way, Billings, MT 59102-0160 | 2005-08-02 |
| 1417953019 | Roy R Hall | Internal Medicine | 2110 Overland Ave Ste 102, Billings, MT 59102-6447 | 2005-06-28 |
| 1215933676 | Roy N Kohler | Internal Medicine | 2900 12th Ave N Ste 500e, Billings, MT 59101 | 2005-06-21 |
| 1578199311 | Impact Physician Group, Montana, LLC | Internal Medicine | 3572 Hesper Rd, Billings, MT 59102-6891 | 2020-03-12 |
| Find all providers in BILLINGS | ||||
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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.