MR. DONALD JENKINS FULLER (NPI# 1295863587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295863587 |
| Entity Type | Individual |
| Full Name | MR. DONALD JENKINS FULLER |
| Credential | PA-C |
| Practice Address |
401 N Broadway Rm 1360 Weinberg Bldg. Baltimore MD 21231-1146 |
| Mailing Address |
1216a Baldwin Mill Rd Jarrettsville MD 21084-1908 |
| Practice Telephone | 4109558742 |
| Practice Fax Number | 4105021746 |
| Mailing Telephone | 4105578389 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0000378 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417985540 | Donald M Fuller | Physical Therapist | 6419 Carolina Beach Rd Ste C, Wilmington, NC 28412-3672 | 2006-06-29 |
| 1295863991 | Donald R Fuller | Speech-Language Pathologist | 310 N. Riverpoint Blvd., Box V, Spokane, WA 99202-1675 | 2007-03-02 |
| 1699828822 | Donald Fuller | Physical Therapist | 6900 Beechmont Ave, Cincinnati, OH 45230-2910 | 2007-01-19 |
| 1285632711 | Donald B Fuller | Specialist | 3366 5th Ave, San Diego, CA 92103-5713 | 2005-07-08 |
| Street Address |
401 N BROADWAY RM 1360 WEINBERG BLDG. |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21231-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984605 | Rohini Bhatia | Student in an Organized Health Care Education/Training Program | 401 N Broadway, Baltimore, MD 21231 | 2019-04-03 |
| 1083146435 | Matthew Pierre Deek | Student in an Organized Health Care Education/Training Program | 401 N Broadway, Baltimore, MD 21287 | 2017-04-03 |
| 1407285539 | Julian Chun | Pharmacist | 401 N Broadway, Suite 1001, Baltimore, MD 21231 | 2013-11-08 |
| 1255527446 | Huichun Zhan | Specialist | 401 N Broadway, Baltimore, MD 21231 | 2007-09-20 |
| 1447387592 | Amy Marie Emerling | Nurse Practitioner | 401 N Broadway, Room 1123, Baltimore, MD 21231-1146 | 2007-02-27 |
| 1003955030 | Adeboye Oluwaseyi Osunkoya | Pathology | 401 N Broadway, Johns Hopkins Pathology, Weinberg Room 2242, Baltimore, MD 21231-1146 | 2007-02-06 |
| 1508902784 | Kristin Janson Redmond | Radiology | 401 N Broadway, Suite 1440, Baltimore, MD 21231-1146 | 2007-01-29 |
| 1235285982 | Carol Sallese Maragos | Nurse Practitioner | 401 N Broadway, Weinberg 4a, Baltimore, MD 21287-0001 | 2007-01-26 |
| 1497801401 | Joann Coleman | Nurse Practitioner | 401 N Broadway, Suite 1440, Baltimore, MD 21231-1146 | 2007-01-25 |
| 1689729212 | Stephanie Louise Gaillard | Internal Medicine | 401 N Broadway, Room 1361, Baltimore, MD 21231 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901102 | Danielle Wexler | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 | 2019-06-14 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1982196176 | Gabriel Ewing | Massage Therapist | Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 | 2018-06-04 |
| 1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| 1235593468 | Saurabh Raj Pandey | Pharmacist | 919 N Caroline St, Baltimore, MD 21231 | 2016-04-13 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
| 1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
| 1003226234 | Rebecca Delaney Tsao | Nurse Practitioner | 98 North Broadway, Suite 421, Baltimore, MD 21231 | 2014-04-28 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| Find all providers in zip 21231 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
| 1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
| 1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
| 1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
| 1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
| 1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
| 1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
| 1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
| 1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
| Find all providers in BALTIMORE | ||||
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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.