DR. JAMES ELTON FULLWOOD JR. (NPI# 1184936643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184936643 |
| Entity Type | Individual |
| Full Name | DR. JAMES ELTON FULLWOOD JR. |
| Credential | DPM |
| Practice Address |
447 N Main St Pittsfield ME 04967-3707 |
| Practice Telephone | 2074876455 |
| Mailing Telephone | 2074876455 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2013-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD 1088 | ME | Podiatric Medicine & Surgery Service Providers |
| Street Address |
447 N MAIN ST |
| City | PITTSFIELD |
| State | ME |
| Zip Code | 04967-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557383 | Jo-nell Orlando | Emergency Medicine | 447 N Main St, Pittsfield, ME 04967-3707 | 2005-12-06 |
| 1740752583 | Pine Tree Radiology Pa | Radiology | 447 N Main St, Pittsfield, ME 04967-3707 | 2018-12-18 |
| 1578032058 | Emergency Medicine Services of Maine, LLC | Physician Assistant | 447 N Main St, Pittsfield, ME 04967-3707 | 2018-11-14 |
| 1144740424 | Pine Tree Radiology Pa | Radiology | 447 N Main St, Pittsfield, ME 04967-3707 | 2017-06-27 |
| 1245699784 | John Michael Deason | Pharmacist | 447 N Main St, Pittsfield, ME 04967-3707 | 2016-02-12 |
| 1417339854 | Mohammad Abrar Shareef | Internal Medicine | 447 N Main St, Pittsfield, ME 04967-3707 | 2015-06-22 |
| 1679988737 | Nicole Moore | Physician Assistant | 447 N Main St, Pittsfield, ME 04967-3707 | 2014-06-27 |
| 1992133102 | Alexandra Maria Elizabeth Idenburg | General Practice | 447 N Main St, Pittsfield, ME 04967-3707 | 2013-10-25 |
| 1568897429 | Ashley Dale Wooley | Physical Therapist | 447 N Main St, Pittsfield, ME 04967-3707 | 2013-09-11 |
| 1083046718 | Alycia Anne Allen | Nurse Practitioner | 447 N Main St, Pittsfield, ME 04967-3707 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369667 | Cross Roads Case Management LLC | Case Management | 442 Main Street, Pittsfield, ME 04967 | 2018-09-07 |
| 1740493527 | Msad #53 | Local Education Agency (LEA) | 167 School Street, Suite A, Pittsfield, ME 04967 | 2007-05-08 |
| 1164580957 | Ciro Thomas Olivares | Social Worker | 12 Waverly Avenue, Pittsfield, ME 04967 | 2006-12-05 |
| 1851459465 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 166 North Main Street, Pittsfield, ME 04967 | 2006-12-05 |
| 1164525739 | Susan C Mcewen | Social Worker | 20 Waverly Ave, Pittsfield, ME 04967 | 2006-09-07 |
| 1467432955 | Robert John Schlager | Family Medicine | 447 N. Main Street, Pittsfield, ME 04967 | 2006-01-19 |
| 1407840309 | Flint C Reid | Optometrist | 453 Main Street, Pittsfield, ME 04967 | 2005-09-07 |
| 1699771980 | Sebasticook Valley Home Care | Home Health | 49 Main Street, Pittsfield, ME 04967 | 2005-06-22 |
| 1730593781 | Jeremy West | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2014-06-18 |
| 1598998916 | West Chiropractic LLC | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2009-09-02 |
| Find all providers in zip 04967 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1861857807 | Acadia Foot & Ankle, Pa | Podiatrist | 33 Penn Plz Ste A, Bangor, ME 04401-3619 | 2015-12-17 |
| 1568881498 | Samuel M Hall | Podiatrist | 4 Glen Cove Dr Ste 205, Rockport, ME 04856-4237 | 2014-04-08 |
| 1750703849 | Steven Farina | Podiatrist | 163 Van Buren Rd., Caribou, ME 04736-4006 | 2014-01-09 |
| 1689854382 | Kenneth D Warren Jr. | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2007-11-09 |
| 1508950155 | Olivia Newton | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2006-10-03 |
| 1437265535 | David Joseph Micca | Podiatrist | 4 Morning Walk Ln, Kennebunk, ME 04043-7786 | 2006-08-22 |
| 1538149471 | Christopher Gerard Pingitore | Podiatrist | 51 Sewall St Ste 2, Portland, ME 04102-2644 | 2006-01-18 |
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1568448272 | Barry M White | Podiatrist | 45 Forest Falls Dr, Yarmouth, ME 04096-6999 | 2005-12-15 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 04967 |
Please comment or provide details below to improve the information on DR. JAMES ELTON FULLWOOD JR..
| 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.