TERESA FULLER (NPI# 1073582193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073582193 |
| Entity Type | Individual |
| Full Name | TERESA FULLER |
| Credential | MD |
| Practice Address |
10084 Reisterstown Rd Ste 200b Owings Mills MD 21117-4096 |
| Mailing Address |
1 E University Pkwy Unit 109 Baltimore MD 21218-2432 |
| Practice Telephone | 4105267993 |
| Practice Fax Number | 4105265144 |
| Mailing Telephone | 4102351601 |
| Mailing Fax Number | 4104676881 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0058861 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 400185100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 E University Pkwy Unit 109, Baltimore, MD 212182432 | 4102351601 | 4104676881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497258891 | Teresa Austin Fuller | Non-emergency Medical Transport (VAN) | 4755 S County Road O, Maple, WI 54854-9159 | 2018-03-12 |
| 1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
| Street Address |
10084 REISTERSTOWN RD STE 200B |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447228341 | Anthony Joseph Vazzano | Pediatrics | 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | 2006-03-08 |
| 1235664640 | Nevin Body | Pediatrics | 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | 2017-04-23 |
| 1023405883 | Daniel D Poliakoff | Pediatrics | 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | 2015-04-20 |
| 1841268562 | Bonnie Linda Orzech-nixon | Pediatrics | 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396108908 | Tarshona Bernice Stevens | Pediatrics | 10085 Red Run Blvd Ste 201, Owings Mills, MD 21117-4829 | 2016-03-31 |
| 1003203126 | Bethany Brown | Pediatrics | 9 Park Center Ct Ste 150, Owings Mills, MD 21117 | 2015-04-16 |
| 1750709127 | Lauren Michelle Mayer | Pediatrics | 10045 Red Run Blvd Ste 135, Owings Mills, MD 21117 | 2014-04-02 |
| 1932491503 | Priti Kaur Bajaj | Pediatrics | 9 Park Center Ct, Suite 150, Owings Mills, MD 21117-5623 | 2011-05-13 |
| 1528201969 | Jacqueline Joy Miller | Pediatrics | 13 Red Maple Ct, Owings Mills, MD 21117-1433 | 2009-04-15 |
| 1427121490 | Debra Lynn Birenbaum | Pediatrics | 2308 Shaded Brook Dr, Owings Mills, MD 21117-2346 | 2006-11-16 |
| 1477657997 | Rona L Stein | Pediatrics | 9 Park Center Court, 150, Owings Mills, MD 21117 | 2006-09-13 |
| 1447228341 | Anthony Joseph Vazzano | Pediatrics | 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | 2006-03-08 |
| 1235664640 | Nevin Body | Pediatrics | 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | 2017-04-23 |
| 1023405883 | Daniel D Poliakoff | Pediatrics | 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | 2015-04-20 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on TERESA FULLER.
| 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.