DR. THOMAS OWEN FULLMER (NPI# 1134451529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134451529 |
| Entity Type | Individual |
| Full Name | DR. THOMAS OWEN FULLMER |
| Credential | D.C. |
| Practice Address |
1652 S Highway 165 Providence UT 84332-6701 |
| Practice Telephone | 4357525522 |
| Practice Fax Number | 4357523075 |
| Mailing Telephone | 4357525522 |
| Mailing Fax Number | 4357523075 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 7563542-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245355353 | Thomas E Fullmer | Physical Therapist | 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 | 2007-03-20 |
| Street Address |
1652 S HIGHWAY 165 |
| City | PROVIDENCE |
| State | UT |
| Zip Code | 84332-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750564514 | South Valley Pharmacy | Pharmacy | 1652 S Highway 165, Providence, UT 84332-6701 | 2007-12-14 |
| 1184949349 | Fullmer Chiropractic | Chiropractor | 1652 S Highway 165, Providence, UT 84332-6701 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
| 1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
| 1821421710 | Erin Campbell | Physical Therapist | 267 West Spring Creek Parkway, Providence, UT 84332 | 2013-08-14 |
| 1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
| 1316134356 | Heather Saxton Maughan | Speech-Language Pathologist | 344 E Edgehill Dr, Providence, UT 84332 | 2007-10-03 |
| 1902021538 | Brad L Thomas | Physical Therapist | 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 | 2007-04-17 |
| Find all providers in zip 84332 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699282426 | Brett Cameron Murdock | Chiropractor | 555 W 100 N Ste C, Providence, UT 84332-9863 | 2018-01-02 |
| 1902108483 | Spencer William Wade | Chiropractor | 565 W 465 N, Suite 140, Providence, UT 84332-4801 | 2010-12-03 |
| 1639495278 | Lighthouse Chiropractic, PC | Chiropractor | 717 Allens Ave, Providence, RI 02905-5412 | 2010-04-07 |
| 1366682759 | Joachim Elias Badway | Chiropractor | 176 Webster Ave, Providence, RI 02909-3829 | 2009-02-25 |
| 1942479969 | Andrew Joseph Lombardi Jr. | Chiropractor | 895 N Main St, Providence, RI 02904-5712 | 2008-02-23 |
| 1023298338 | Back In Motion Inc | Chiropractor | 756 Eddy St, Providence, RI 02903-4931 | 2007-11-05 |
| 1689863474 | Ptw and Cvd Enterprises LLC | Chiropractor | 544a Chalkstone Ave, Providence, RI 02908-3618 | 2007-10-17 |
| 1881719441 | Arianna Iannuccilli | Chiropractor | 248 Atwells Ave, Providence, RI 02903-1529 | 2007-03-20 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1093842684 | Ronald E Clary Jr. | Chiropractor | 180 Whitford Ave, Providence, RI 02908-3360 | 2007-02-28 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 84332 |
Please comment or provide details below to improve the information on DR. THOMAS OWEN FULLMER.
| 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.