DR. JEFFREY J FULLER (NPI# 1356343917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356343917 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY J FULLER |
| Credential | MD |
| Practice Address |
250 State Farm Pkwy Birmingham AL 35209-7181 |
| Practice Telephone | 2059434600 |
| Practice Fax Number | 2059434688 |
| Mailing Telephone | 2059434600 |
| Mailing Fax Number | 2059434688 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD.30880 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730517368 | Jeffrey Fuller | Massage Therapist | 3824 Cedar Springs Rd # 433, Dallas, TX 75219-4136 | 2013-10-16 |
| 1679013296 | Jeffrey Fuller | Counselor | 98 Cumberland St, Bangor, ME 04401-5234 | 2017-03-01 |
| 1871731935 | Jeffrey S Fuller | Nurse Practitioner | 1406 W Bella Drive, Marion, IN 46953-5229 | 2009-01-28 |
| Street Address |
250 STATE FARM PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-7181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487065868 | Michael Christopher Eddins | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209 | 2014-05-19 |
| 1427481464 | Dale Brown Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2013-08-13 |
| 1427493477 | Kristin Madonia Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2013-05-03 |
| 1912296393 | Jeffrey J Fuller Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2011-04-06 |
| 1144521048 | Hartley Elise Nichols | Optometrist | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2010-11-09 |
| 1902129075 | Matthew B Albright Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2010-03-03 |
| 1942477401 | Kristin Berlin Madonia | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2008-05-14 |
| 1831374263 | Robert W H Mason Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2008-01-03 |
| 1326221458 | Y Choi Md PC | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2007-12-12 |
| 1578778890 | Matthew Brian Albright | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508285636 | Richard Minton Feist Jr. | Ophthalmology | 700 18th St S Ste 707, Birmingham, AL 35233-3806 | 2014-04-16 |
| 1124114863 | Larry Dale Brown | Ophthalmology | 250 State Farm Pkwy, Birmingham, AL 35209-7181 | 2006-10-04 |
| 1437194867 | Retina Specialists of Alabama LLC | Ophthalmology | 2208 University Blvd Ste 101, Birmingham, AL 35233-2313 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528150851 | Retina Specialists of West Alabama LLC | Ophthalmology | 500 Hargrove Rd E, Tuscaloosa, AL 35401-3751 | 2006-09-28 |
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.