GREGG S FULMER (NPI# 1396781944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396781944 |
| Entity Type | Individual |
| Full Name | GREGG S FULMER |
| Credential | MD |
| Practice Address |
205 Palmer Ave. Bellefontaine OH 43311-2281 |
| Mailing Address |
110 Dowell Ave Bellefontaine OH 43311-2305 |
| Practice Telephone | 9375924015 |
| Mailing Telephone | 9375930245 |
| Mailing Fax Number | 9375928633 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35.081568 | OH | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 35081568 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAL MUTUAL | 341407259037 | 01 | |
| ANTHEM | 000000026809 | 01 | |
| CIGNA | 341407259 | 01 | |
| OH | 2369057 | 05 | |
| UHC | 87726 | 01 | |
| NATIONWIDE | 341407259 | 01 | |
| AETNA | 7755544 | 01 | |
| TRICARE | FU7340041 | 01 |
| Street Address |
205 PALMER AVE. |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311-2281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866206 | Bonnie S Campbell | Hospitalist | 33 W Rahn Rd Ste 102, Dayton, OH 45429-2219 | 2018-10-11 |
| 1306325931 | Hamid R Khatibi | Hospitalist | 730 W. Market St., Lima, OH 45801-4667 | 2018-08-14 |
| 1689169666 | Loreto E Dacio Md LLC | Hospitalist | 2931 Parkwalk Dr, Cincinnati, OH 45239-1902 | 2018-06-22 |
| 1699288753 | Bay View Inpatient Services LLC | Hospitalist | 855 N Sandusky Ave, Upper Sandusky, OH 43351-1031 | 2017-11-13 |
| 1295273407 | Matthew Wolschleger | Hospitalist | 262 Hospital Road, Chillicothe, OH 45601 | 2017-02-08 |
| 1982050068 | Incare Health Solutions, LLC. | Hospitalist | 7830 Oh 199, Upper Sandusky, OH 43351 | 2016-05-09 |
| 1891140893 | Trihealth Rehabilitation Hospital, LLC | Hospitalist | 2155 Dana Ave, Cincinnati, OH 45207 | 2016-04-27 |
| 1053653253 | Regency Hospital of Toledo, LLC | Hospitalist | 5220 Alexis Rd, Sylvania, OH 43560-2504 | 2013-03-26 |
| 1952667974 | Raj Penumetsa | Hospitalist | 2750 Pickle Rd Apt 11, Oregon, OH 43616-3935 | 2012-04-03 |
| 1992034680 | Knd Development 59 LLC | Hospitalist | 707 S. Edwin C. Moses Boulevard, Dayton, OH 45417-3462 | 2009-12-09 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
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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.