MICHAEL FULKS (NPI# 1407977630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407977630 |
| Entity Type | Individual |
| Full Name | MICHAEL FULKS |
| Credential | M.D. |
| Practice Address |
M352 Mass Mutual 1295 State Street Springfield MA 01111-0001 |
| Mailing Address |
17580 Clinton Rd Jackson CA 95642-9633 |
| Practice Telephone | 8605621153 |
| Mailing Telephone | 8605621153 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 57117 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467861658 | Michael Fulks | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2014-08-13 |
| Street Address |
M352 MASS MUTUAL 1295 STATE STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01111-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033307152 | Mary Prenosil | Massage Therapist | 1295 State St # L038, Springfield, MA 01111-0001 | 2007-10-15 |
| 1003806613 | Daniel P. George | Specialist | 1295 State St, M-352, Springfield, MA 01111-0001 | 2005-10-25 |
| 1780719781 | Linda Tatko Cooper | Nurse Practitioner | 1295 State St, C 340, Springfield, MA 01111-0001 | 2007-02-22 |
| 1851339162 | David E Artzerounian | Internal Medicine | 1295 State St, C/o Massmutual C340, Springfield, MA 01111-0001 | 2006-06-02 |
| 1467418640 | L&c Prescriptions Inc | Pharmacy | 1295 State St, Springfield, MA 01111-0001 | 2006-04-25 |
| 1053399741 | Valerie Roe Kaufman | Internal Medicine | 1295 State St, M352, Springfield, MA 01111-0001 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1396346227 | Coach for Seniors Inc. | In Home Supportive Care | 7020 Petunia St, Springfield, VA 22152-3448 | 2020-11-06 |
| 1851992622 | Destinee Lathon | Nurse's Aide | 1731 Fairmont Dr, Springfield, IL 62702-2927 | 2020-11-06 |
| 1396346508 | Bec Personal Care, LLC | In Home Supportive Care | 3513 Sundance Dr, Springfield, IL 62711-6719 | 2020-11-04 |
| 1932700366 | Shawn Carpenter Jr. | Homemaker | 1567 Regent Ave, Springfield, OH 45503-5967 | 2020-11-03 |
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1639779507 | Rachel Sparks | Occupational Therapist | 4170 Allium Ct, Springfield, OH 45505-1664 | 2020-10-29 |
| 1073113023 | Crystal Lynn Sandridge | Technician | 9710 Cumberland Rd, Springfield, WV 26763 | 2020-10-29 |
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1962001479 | Blueprint for Success LLC | Behavioral Analyst | 117 E Liberty St, Springfield, OH 45505-1935 | 2020-10-26 |
| Find all providers in SPRINGFIELD | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639675077 | Anand Kanjolia, M.d. LLC | Internal Medicine | 222 Carew St Fl 4, Springfield, MA 01104-4109 | 2018-04-04 |
| 1376068817 | Personal Primary Care and Weight Management, LLC | Internal Medicine | 299 Carew St Ste 234, Springfield, MA 01104-2368 | 2017-08-05 |
| 1184145682 | Basma Al-bast | Internal Medicine | 701 N 1st St Ste 434, Springfield, IL 62702-3757 | 2017-07-05 |
| 1689124604 | John Duff | Internal Medicine | 2909 S Camber Ave, Springfield, MO 65809-3547 | 2016-10-13 |
| 1669834941 | Siddhi Joshi | Internal Medicine | 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 | 2016-03-24 |
| 1265898936 | Mohammad Rahimuddin | Internal Medicine | 2556 Snyder Domer Rd, Springfield, OH 45502-8161 | 2016-01-11 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1679992895 | Ahlam Elbadri | Internal Medicine | 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 | 2014-04-15 |
| 1528487543 | Barbara Vinci | Internal Medicine | 2443 Troy Rd, Springfield, OH 45504-4233 | 2014-04-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01111 |
Please comment or provide details below to improve the information on MICHAEL FULKS.
| 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.