RONALD F FULLMER (NPI# 1528002029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528002029 |
| Entity Type | Individual |
| Full Name | RONALD F FULLMER |
| Credential | M.D. |
| Practice Address |
570 Shoup Ave W Twin Falls ID 83301-5029 |
| Practice Telephone | 2087346022 |
| Practice Fax Number | 2087349614 |
| Mailing Telephone | 2087346022 |
| Mailing Fax Number | 2087349614 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
M5186 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | RR MEDICARE | P00029394 | 01 |
| Street Address |
570 SHOUP AVE W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518358795 | Tiffany N Warren | Counselor | 570 Shoup Ave W, Twin Falls, ID 83301-5029 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1407124753 | Idaho Falls Pulmonary Sleep & Critical Care Specialists | Internal Medicine | 2442 E 25th St, Idaho Falls, ID 83404-7549 | 2011-12-01 |
| 1831423557 | Idagem Services Inc | Internal Medicine | 1533 N Milwaukee St, Ste 321, Boise, ID 83704-8471 | 2009-09-28 |
| 1417102930 | Joshua David Holweger | Internal Medicine | 1075 N Curtis, Ste 200, Boise, ID 83706-1350 | 2008-11-25 |
| 1659407716 | Richard Keith Oehlschlager | Internal Medicine | 3036 Lakewood Way, Boise, ID 83706-5240 | 2007-02-25 |
| 1194861534 | Richard J Robinson | Internal Medicine | 700 West Ironwood Drive, Suite 336, Coeur D'alene, ID 83814-4485 | 2007-01-30 |
| 1013946391 | Janat E. O'donnell | Internal Medicine | 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 | 2006-06-30 |
| 1932169042 | Cary V. Jackson | Internal Medicine | 401 E Hawaii, Nampa, ID 83686 | 2006-03-23 |
| 1932191319 | Peter Lawrence Fort | Internal Medicine | 777 Hospital Way Ste 202, Pocatello, ID 83201-5175 | 2005-08-22 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1073027389 | Jordan Joseph Cormier | Internal Medicine | 2330 Desoto St, Idaho Falls, ID 83404-7570 | 2017-11-22 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on RONALD F FULLMER.
| 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.