WILLIAM C FULLER (NPI# 1518939024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518939024 |
| Entity Type | Individual |
| Full Name | WILLIAM C FULLER |
| Credential | M.D. |
| Practice Address |
4400 W 69th St Ste 1500 Sioux Falls SD 57108-8170 |
| Mailing Address |
2400 S. Minnesota Ave Ste 100 Sioux Falls SD 57105-3762 |
| Practice Telephone | 6053225700 |
| Practice Fax Number | 6053225704 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053226475 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2080 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | MIDLANDS CHOICE | 14649 | 01 |
| SD | DAKOTACARE | 2080 | 01 |
| ND | 12200 | 05 | |
| SD | BLUE CROSS | 0040695 | 01 |
| SD | WPS TRICARE | 57108C008 | 01 |
| IA | 1958108 | 05 | |
| NE | 46022474352 | 05 | |
| MN | UCARE | 114837 | 01 |
| SD | ARAZ/ AMERICA'S PPO | 25065 | 01 |
| SD | PREFERRED ONE | 412991010162 | 01 |
| SD | SANFORD HEALTH PLAN | 23086 | 01 |
| SD | HEALTHPARTNERS | HP24848 | 01 |
| MN | CC SYSTEMS/ BLUE PLUS | 140M0FU | 01 |
| SD | 7100103 | 05 | |
| SD | RR MEDICARE | 260051611 | 01 |
| MN | 394885400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710146931 | William Fuller | Social Worker | 242 N Magdalen St, San Angelo, TX 76903-5434 | 2008-06-03 |
| 1164631750 | William S Fuller | Social Worker | 1501 N Pierce St, Suite 105, Little Rock, AR 72207-5203 | 2007-05-21 |
| 1205323177 | William Tyler Fuller | Internal Medicine | 2500 N State St, Jackson, MS 39216 | 2018-04-17 |
| 1326440488 | William Mills Fuller | Physician Assistant | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2014-09-20 |
| 1780092973 | William Liddell Fuller | Internal Medicine | 800 Rose St, Lexington, KY 40536-0001 | 2014-07-31 |
| 1952721490 | William Scott Fuller | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2014-04-23 |
| 1437415189 | William Allen Fuller | Counselor | 4240 Auburn Way N, Auburn, WA 98002-1311 | 2012-04-06 |
| 1487821690 | William Shaw Fuller | Marriage & Family Therapist | 101 S B St, Lompoc, CA 93436-6933 | 2008-05-15 |
| 1588621478 | William Edward Fuller | Obstetrics & Gynecology | 1601 E 19th Ave, Suite 5100, Denver, CO 80218-1216 | 2006-04-26 |
| 1225006489 | William Allen Fuller Jr. | Surgery | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-14 |
| Street Address |
4400 W 69TH ST STE 1500 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-8170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080595 | Sarah A Flynn | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1609494483 | Hannah Otten | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2020-07-08 |
| 1265096739 | Chelsea Oppold | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2019-04-30 |
| 1891358248 | Paige Elizabeth Thompson | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2019-04-20 |
| 1982198776 | Jennifer Assam | Student in an Organized Health Care Education/Training Program | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2018-06-15 |
| 1184150468 | Gerard J Kokett | Pharmacist | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2017-05-05 |
| 1851823892 | Matthew Malecha | Student in an Organized Health Care Education/Training Program | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2017-03-29 |
| 1992254072 | Jenna Visser | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2016-09-29 |
| 1134674476 | Julia Alzoubaidi | Psychologist | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2016-08-16 |
| 1598131831 | Amber Marie Reints | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619321197 | Erik Peterson | Psychiatry & Neurology | Sioux Falls Va Medical Center, 2501 West 22nd St, Sioux Falls, SD 57105 | 2016-04-20 |
| 1942325428 | Francis Christopher Bandettini | Psychiatry & Neurology | 2500 W 49th St, Suite 206, Sioux Falls, SD 57105-6580 | 2007-03-21 |
| 1396764254 | Sanford Clinic | Psychiatry & Neurology | 2400 W 49th St, Sioux Falls, SD 57105-6581 | 2006-07-19 |
| 1982640892 | Kannan Clinic, P.C. | Psychiatry & Neurology | 5120 S Western Ave, Ste. 104, Sioux Falls, SD 57108-5013 | 2006-06-20 |
| 1700858248 | Anthony M Vaca | Psychiatry & Neurology | 4400 W 69th St., Ste. 1500, Sioux Falls, SD 57108-8171 | 2006-02-07 |
| 1871565333 | Lisa Carol Amiotte | Psychiatry & Neurology | 4400 W. 69th St, Ste. 500, Sioux Falls, SD 57108-8171 | 2006-02-07 |
| 1013980598 | Avera Mckennan | Psychiatry & Neurology | 4400 W 69th St Ste 1500, Sioux Falls, SD 57108-8171 | 2006-02-07 |
| 1700499936 | Avera Mckennan | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-08-27 |
| 1184116709 | Laura Jane Pfeiffer | Psychiatry & Neurology | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2018-05-30 |
| 1568967446 | Courtnee Renee Heyduk | Psychiatry & Neurology | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2018-03-24 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.