DR. SAM R FULP (NPI# 1548218118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548218118 |
| Entity Type | Individual |
| Full Name | DR. SAM R FULP |
| Credential | M.D. |
| Practice Address |
1340 Matthews Township Pkwy Suite 301 Matthews NC 28105-5580 |
| Mailing Address |
Po Box 497 Huntersville NC 28070-0497 |
| Practice Telephone | 7043774009 |
| Mailing Telephone | 7043774009 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
32500 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1340 MATTHEWS TOWNSHIP PKWY SUITE 301 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790196822 | Jeffrey Daniel Monaco | Dentist | 1340 Matthews Township Pkwy, #201, Matthews, NC 28105 | 2014-05-12 |
| 1902137367 | Matthews Infectious Disease Specialists, Pllc | Clinic/Center | 1340 Matthews Township Pkwy, Suite 102, Matthews, NC 28105-5580 | 2010-01-26 |
| 1891922860 | Jay Shukla | Dentist | 1340 Matthews Township Pkwy, Suite 101, Matthews, NC 28105-5580 | 2009-06-17 |
| 1083884688 | Drs. Patel, Kashyap & Associates, P.a. | Dentist | 1340 Matthews Township Pkwy, Suite 101, Matthews, NC 28105-5580 | 2008-03-11 |
| 1972704997 | Caroline Eugenia Lindenbeck | Chiropractor | 1340 Matthews Township Pkwy, Matthews, NC 28105-5580 | 2007-05-29 |
| 1598981474 | Jeffrey S Zaidman | Internal Medicine | 1340 Matthews Township Pkwy, Suite 301, Matthews, NC 28105-5580 | 2007-04-18 |
| 1356566830 | Chandler Chiropractic Center, P.a. | Chiropractor | 1340 Matthews Township Pkwy, Suite 103, Matthews, NC 28105-5580 | 2007-04-17 |
| 1568584688 | Ashish Dinesh Thekdi | Internal Medicine | 1340 Matthews Township Pkwy, Suite 301, Matthews, NC 28105-5580 | 2007-04-06 |
| 1649358078 | Jason D Sperati | Dentist | 1340 Matthews Township Pkwy, Suite 201, Matthews, NC 28105 | 2006-11-02 |
| 1992888663 | Kimberly K. Josey | Chiropractor | 1340 Matthews Township Pkwy, Suite 103, Matthews, NC 28105-5580 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1346566858 | Viral Dinesh Patel | Internal Medicine | 1340 Matthews Township Pkwy Ste 301, Matthews, NC 28105-4681 | 2010-04-09 |
| 1598981474 | Jeffrey S Zaidman | Internal Medicine | 1340 Matthews Township Pkwy, Suite 301, Matthews, NC 28105-5580 | 2007-04-18 |
| 1568584688 | Ashish Dinesh Thekdi | Internal Medicine | 1340 Matthews Township Pkwy, Suite 301, Matthews, NC 28105-5580 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
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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.