RANDALL M FULCHIERO (NPI# 1275525693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275525693 |
| Entity Type | Individual |
| Full Name | RANDALL M FULCHIERO |
| Credential | M.D. |
| Practice Address |
1520 S Main St # 2 Dayton OH 45409-2698 |
| Practice Telephone | 9374615815 |
| Practice Fax Number | 9374612896 |
| Mailing Telephone | 9374615815 |
| Mailing Fax Number | 9374612896 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35068723 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35068723 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0168992 | 05 | |
| OH | ANTHEM BCBS | 000000012028 | 01 |
| OH | UNITED HEALTHCARE | 4820105 | 01 |
| Street Address |
1520 S MAIN ST # 2 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434995 | Mohammed Mazen Dallal | Internal Medicine | 1520 S Main St, # 2, Dayton, OH 45409-2698 | 2005-08-19 |
| 1184006934 | Jennifer Lynn Long | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2015-06-28 |
| 1669872958 | Tatum Toscani | Registered Nurse | 1520 S Main St, Dayton, OH 45409-2698 | 2014-08-25 |
| 1629485933 | Scarlet Burger | Specialist | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2014-07-18 |
| 1578903209 | Mark James Burger | Perfusionist | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2013-06-26 |
| 1437450335 | Jennifer Laine Chronaberry | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2010-11-09 |
| 1689984528 | Amy C. Barton | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2010-10-13 |
| 1306171384 | Gabriel Joe Hays | Internal Medicine | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2009-10-09 |
| 1295964997 | Soumitra Sen | Internal Medicine | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2009-07-02 |
| 1356581557 | Brandy Jo Crouch | Registered Nurse | 1520 S Main St, Dayton, OH 45409-2698 | 2009-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1134520992 | Eduardo Caspe Casalmir | Internal Medicine | 1551 Shore Woods Dr, Dayton, OH 45459-1474 | 2014-09-11 |
| 1902131071 | Michael William Craig | Internal Medicine | 4482 Blairgowrie Cir, Dayton, OH 45429-1853 | 2009-10-07 |
| 1265589113 | Jennifer K Clune | Internal Medicine | 1520 South Main Street, Suite 2, Dayton, OH 45409-2643 | 2007-01-04 |
| 1790703510 | Barton A Bellus | Internal Medicine | 531 Belmonte Park N, Suite 108, Dayton, OH 45405-4749 | 2006-07-18 |
| 1336137595 | Fred Arthur Wagshul | Internal Medicine | 8371 Yankee St, Dayton, OH 45458-1810 | 2005-10-12 |
| 1568880904 | Timothy Everett Hwalek | Internal Medicine | 9001 N Main St Ste A, Dayton, OH 45415-1154 | 2014-04-02 |
| 1245596634 | Alliance Physicians Inc | Internal Medicine | 1989 Miamisburg Centerville Rd, Ste. 201, Dayton, OH 45459-3859 | 2012-04-10 |
| 1902080187 | Mohamed Souheil Darwich | Internal Medicine | 8881 N Main St, Dayton, OH 45415-1333 | 2007-12-24 |
| 1609998293 | Asthma and Emphysema Center Inc | Internal Medicine | 425 W Grand Ave, Suite 3004, Dayton, OH 45405-4775 | 2007-04-04 |
| 1174680532 | Dayton Pulmonary and Critical Care, Inc | Internal Medicine | 2200 Philadelphia Dr, Suite 548, Dayton, OH 45406-1840 | 2007-01-03 |
| Find all providers in DAYTON | ||||
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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.