DR. WAYNE TEMPLETON FULLER


Address: 628 Thalia Point Rd, Virginia Beach, VA 23452-1816
Phone: 7576728367

DR. WAYNE TEMPLETON FULLER (NPI# 1508867672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508867672
Entity Type Individual
Full Name DR. WAYNE TEMPLETON FULLER
Credential M.D.
Practice Address 628 Thalia Point Rd
Virginia Beach
VA 23452-1816
Practice Telephone 7576728367
Mailing Telephone 7576728367
Enumeration Date 2005-08-10
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine M-8300 ID Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine D56565 MD Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 42646 MN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 6222A WY Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 99-44 NM Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 37054 CO Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 00035725 WA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 26099 AZ Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine G084432 CA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 339571-1205 UT Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 19181 SC Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 38697 WI Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 31285 NC Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 0101034109 VA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine VT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CAQH PROVIDER ID 11104815 01

Other Providers WAYNE FULLER

NPI Name Taxonomy Address Enumeration
1093017261 Wayne W Fuller Psychologist 90 Old Hanson Rd, Hanson, KY 42413-9586 2010-11-22
1689761041 Wayne B Fuller Optometrist 210 2nd Ave Se, Cullman, AL 35055-3514 2006-10-06
1952390700 Wayne A Fuller Anesthesiology 1700 Clinton St, Muskegon, MI 49442-5502 2005-10-14

Office Location

Street Address 628 THALIA POINT RD
City VIRGINIA BEACH
State VA
Zip Code 23452-1816

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1598313298 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 2019-08-27
1205483229 Brenna Dober Behavior Technician 380 Clevend Place, Virginia Beach, VA 23452 2019-08-23
1639652977 Jessica Keefe Psychologist 642 Carriage Hill Road, Virginia Beach, VA 23452 2018-09-12
1316433709 Circle of Life, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 2018-07-09
1992205165 Jeremy Monsanto Behavior Technician 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 2018-02-14
1174056014 Samantha Brown Behavior Technician 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 2017-04-07
1043757685 Join1,llc Home Health 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 2017-01-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326652900 Liliana Kim Family Medicine 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 2020-09-01
1699236026 Helen Everett Frankos Family Medicine 748 Sequoia Way, Virginia Beach, VA 23451-4472 2019-03-28
1336644814 Jessica Zuckerman Family Medicine 2309 Nettleford Way, Virginia Beach, VA 23453 2018-03-27
1538699038 Promethean Group Family Medicine 3920 Vanderhorst Dr, Virginia Beach, VA 23462-7531 2017-06-16
1407385172 Ashley Watson Family Medicine 513 Boswell Ct, Virginia Beach, VA 23452-5857 2017-06-07
1376930073 Ashley A Burkholder Family Medicine 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 2015-04-20
1053754358 Jonathan Gellman Family Medicine 1200 Lake James Dr, Suite 200, Virginia Beach, VA 23464-6773 2013-04-17
1003155045 Accurate Medical PC Family Medicine 3312 Doncaster Rd, Virginia Beach, VA 23452-5920 2013-02-12
1740529072 Dalene Cheek Evans Family Medicine 1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780 2013-02-06
1326334095 Kari Ann Neamand Cheney Family Medicine 1035 Nider Blvd, St 100, Nmcp Branch Health Clinic Boone, Virginia Beach, VA 23459-2731 2011-06-21
Find all providers in VIRGINIA BEACH

Competitor

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City VIRGINIA BEACH
Zip Code 23452

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Dataset Information

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.

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