RICHARD F FULROTH (NPI# 1346236643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346236643 |
| Entity Type | Individual |
| Full Name | RICHARD F FULROTH |
| Credential | MD |
| Practice Address |
550 E Washington Blvd Crescent City CA 95531-8160 |
| Mailing Address |
670 9th Street Suite 203 Arcata CA 95521-6248 |
| Practice Telephone | 7074656925 |
| Practice Fax Number | 7074656070 |
| Mailing Telephone | 7078268633 |
| Mailing Fax Number | 7078268638 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
35041407 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0361513 | 05 |
| Street Address |
550 E WASHINGTON BLVD |
| City | CRESCENT CITY |
| State | CA |
| Zip Code | 95531-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176589 | Frederick Mayer | Podiatrist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2005-07-07 |
| 1538634423 | Thomas B. Kelem | Marriage & Family Therapist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-10-08 |
| 1316435050 | Susan Waddell | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-04-27 |
| 1609372721 | Heather J Payne | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-04-05 |
| 1700393998 | Sandy Gail Penner | Dental Hygienist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-01-09 |
| 1033620315 | Daniel Richard Lefler | Physician Assistant | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2017-10-13 |
| 1851828966 | Kay Vail | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2017-05-19 |
| 1356885446 | Denise Byassee Jeffrey | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-12-08 |
| 1033660626 | Heather Naomi Gail Hogan | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-10-18 |
| 1427503796 | Melody Pope | Nurse Practitioner | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
| 1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
| 1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
| 1447638044 | Yelena Zaitseva Lavender | Counselor | 455 K Street, Crescent City, CA 95531 | 2015-05-14 |
| 1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
| Find all providers in zip 95531 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1699316695 | Neonatal Hospitalist Group, Inc | Pediatrics | 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 | 2019-10-01 |
| 1619418936 | Natalie Hoi-man Chan | Pediatrics | 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 | 2017-03-20 |
| 1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
| 1477904530 | Lida Irene Zeinali | Pediatrics | 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 | 2016-06-29 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1871921718 | Mirin Hemasilpin | Pediatrics | 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 | 2013-10-30 |
| 1588937353 | Jeffrey Joseph Pomerance | Pediatrics | 351 W Northridge Ave, Glendora, CA 91741-2036 | 2012-02-09 |
| 1447549225 | Jimmy Thuan Nguyen | Pediatrics | 5621 W Barbette Ave, Santa Ana, CA 92704-1015 | 2011-04-01 |
| 1699085134 | Rosemary Leake | Pediatrics | 2 Crest Rd W, Rolling Hills, CA 90274-5003 | 2010-10-18 |
| 1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CRESCENT CITY |
| Zip Code | 95531 |
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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.