JULIE A FULLER (NPI# 1407800717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407800717 |
| Entity Type | Individual |
| Full Name | JULIE A FULLER |
| Credential | MD |
| Practice Address |
2524 E Webster Pl #301 Milwaukee WI 53211-4256 |
| Practice Telephone | 4142727009 |
| Practice Fax Number | 4142726261 |
| Mailing Telephone | 4142727009 |
| Mailing Fax Number | 4142726261 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36737 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32198400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462908 | Julie Fuller | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-06-19 |
| 1932694411 | Julie A Fuller | Physical Therapist | 920 State St, Manitowoc, WI 54220 | 2018-06-26 |
| 1447481783 | Julie S Fuller | Dentist | 11208 94th Ave E, Puyallup, WA 98373-3663 | 2009-08-04 |
| 1477703429 | Julie Raye Fuller | Dental Hygienist | 161 Railcar Rd, Corrales, NM 87048-7909 | 2008-09-26 |
| 1518158112 | Julie Marie Fuller | Pediatrics | 5323 Harry Hines Blvd., Dallas, TX 75390-7208 | 2007-08-07 |
| 1194828822 | Julie M Fuller | Internal Medicine | 2362 Morse Ave, Us Healthworks, Irvine, CA 92614-6234 | 2006-09-07 |
| Street Address |
2524 E WEBSTER PL #301 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023073418 | Ellen Hing | Pediatrics | 2524 E Webster Pl, Ste 301, Milwaukee, WI 53211-4256 | 2006-04-19 |
| 1780281725 | Frederick Scott Wendt | Social Worker | 2524 E Webster Pl, Milwaukee, WI 53211-4256 | 2020-10-02 |
| 1609356005 | Enis A Novalija | Counselor | 2524 E Webster Pl, Milwaukee, WI 53211-4256 | 2018-08-16 |
| 1275047367 | Misty Marie Christensen | Psychologist | 2524 E Webster Pl, Milwaukee, WI 53211-4256 | 2017-11-28 |
| 1881960334 | Bridget Caitlin O'brien | Pediatrics | 2524 E Webster Pl, Suite 301, Milwaukee, WI 53211-4256 | 2012-03-29 |
| 1912216219 | Lighthouse Clinic, LLC | Counselor | 2524 E Webster Pl, Suite 203, Milwaukee, WI 53211-4256 | 2010-10-04 |
| 1144433236 | Shoreview Pediatrics, S.c. | Pediatrics | 2524 E Webster Pl, Suite 301, Milwaukee, WI 53211-4256 | 2007-05-07 |
| 1023104742 | Doris S Johnson-browne | Counselor | 2524 E Webster Pl, Suite 203, Milwaukee, WI 53211-4256 | 2006-10-04 |
| 1295832897 | Susan Kay Trafton | Psychologist | 2524 E Webster Pl, Suite 203, Milwaukee, WI 53211-4256 | 2006-09-19 |
| 1497869994 | Sharon Renee Lee | Counselor | 2524 E Webster Pl, Suite 203, Milwaukee, WI 53211-4256 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1013390582 | Devashis Mukherjee | Pediatrics | 8915 W Connell Ct, Milwaukee, WI 53226 | 2015-07-02 |
| 1154715639 | Palak Shah | Pediatrics | 8915 W Connell Court, Milwaukee, WI 53226 | 2015-03-24 |
| 1285028886 | Alexandria Holliday | Pediatrics | 999 N 92nd St Ste C460, Milwaukee, WI 53226 | 2015-03-23 |
| 1033526603 | Vijay S Kumbar | Pediatrics | 3003 W Good Hope Rd Apt S-711, Milwaukee, WI 53209-2042 | 2014-07-16 |
| 1275897019 | Monica B Musete | Pediatrics | 3201 S 16th St Ste 1020, Milwaukee, WI 53215-4532 | 2012-06-26 |
| 1427384486 | Sarah J. Pratt | Pediatrics | 3062 E Newport Ct, Milwaukee, WI 53211-2910 | 2009-10-27 |
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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.