MARK G FULLER (NPI# 1659378511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659378511 |
| Entity Type | Individual |
| Full Name | MARK G FULLER |
| Credential | MD |
| Practice Address |
1307 Federal St Ste 301 Pittsburgh PA 15212-4769 |
| Practice Telephone | 4123593751 |
| Practice Fax Number | 4124422335 |
| Mailing Telephone | 4123593751 |
| Mailing Fax Number | 4124422335 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD043300L | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD043300L | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD043300L | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1307 Federal St Ste 301, Pittsburgh, PA 152124769 | 4123594644 | 4124422335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417470147 | Mark A Fuller | Taxi | 2215 W Willow Knolls Drive, Apt 503a, Peoria, IL 61614-1446 | 2017-07-25 |
| 1639270945 | Mark A Fuller | Chiropractor | 330 Curtis Ave, Ironton, MN 56455-0193 | 2006-09-26 |
| 1124055561 | Mark Avery Fuller | Hospitalist | N10561 Grandview Lane, Grandview Hospital, Ironwood, MI 49938-4828 | 2006-06-28 |
| 1447751292 | Mark Joseph Fuller Jr. | Music Therapist | 1800 Columbus Ave, Boston, MA 02119-1042 | 2018-02-27 |
| 1780859744 | Mark P Fuller | Social Worker | W3275 Wolf River Road, Keshena, WI 54135 | 2008-04-29 |
| Street Address |
1307 FEDERAL ST STE 301 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15212-4769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952854 | Mark Ward Guy | Family Medicine | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2005-06-14 |
| 1962023432 | Allegheny Clinic | Internal Medicine | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2020-05-06 |
| 1104477678 | Aidah Gross | Physician Assistant | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2019-09-25 |
| 1548823628 | Jenna M Bain | Nurse Practitioner | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2019-04-15 |
| 1518423151 | Matthew Gardner | Physician Assistant | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2019-02-19 |
| 1891209060 | Danielle Lea Dipre | Nurse Practitioner | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2017-11-27 |
| 1184051401 | Laurel B. Raines | Physician Assistant | 1307 Federal St Ste 301, Pittsburgh, PA 15212 | 2013-10-01 |
| 1366523557 | Nathan B Menke | Emergency Medicine | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182347 | Kimberly Marie Pacy | Pharmacist | 623-625 East Ohio Street, Pittsburgh, PA 15212 | 2020-10-23 |
| 1649884990 | Genafie Mcknight | Social Worker | 322 North Shore Drive North Shore, Building 1b Suite 200, Pittsburgh, PA 15212 | 2020-09-03 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1639705742 | Regi Jithesh | Nurse Practitioner | 314 E. North Avenue, Level One, Pittsburgh, PA 15212 | 2020-03-20 |
| 1598309262 | Anna Michaela Carter | Music Therapist | 322 North Shore Drive, Building 1b, Suite 200, Office 203, Pittsburgh, PA 15212 | 2019-11-05 |
| 1477196194 | Home Recovery Care, LLC | Case Management | 320 E. North Avenue, Cancer Institute Rm 203, Pittsburgh, PA 15212 | 2019-10-25 |
| 1558842997 | Maggie Yuhas | Occupational Therapist | 1411 Porterfield St, Pittsburgh, PA 15212 | 2018-08-23 |
| 1518464932 | Chloe Williams | Student in an Organized Health Care Education/Training Program | Allegheny General Hospital, 320 East North Ave, Pittsburgh, PA 15212 | 2018-04-11 |
| 1598261729 | Martha Conley Harrison | Student in an Organized Health Care Education/Training Program | West Penn Hospital, 4800 Friendship Ave, Pittsburgh, PA 15212 | 2018-04-05 |
| 1487155271 | Northside Dental | Dentist | 814 Cedar Avenue, Pittsburgh, PA 15212 | 2018-02-27 |
| Find all providers in zip 15212 | ||||
| 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 |
|---|---|---|---|---|
| 1699271890 | Karl David Ludwig | Psychiatry & Neurology | 2168 Reis Run Rd, Pittsburgh, PA 15237-1425 | 2018-04-05 |
| 1225576168 | Jeffrey C. Wilson, Md, Rpllc | Psychiatry & Neurology | 1151 Freeport Rd, #391, Pittsburgh, PA 15238-3103 | 2017-02-10 |
| 1750829602 | Dr. Robert Slayton, LLC | Psychiatry & Neurology | 5516 Northumberland St, Pittsburgh, PA 15217-1131 | 2017-02-10 |
| 1477903946 | William Mcbride | Psychiatry & Neurology | 3800 Ohara Street, Suite 431, Pittsburgh, PA 15213 | 2016-06-15 |
| 1841652633 | Joshua Riley-graham | Psychiatry & Neurology | 307 4th Ave Fl 11, Pittsburgh, PA 15222-2108 | 2016-03-22 |
| 1952745713 | Bryan W Lockmer | Psychiatry & Neurology | 5301 Grove Rd Ste M123, Pittsburgh, PA 15236-5602 | 2013-04-24 |
| 1891139457 | Elizabeth Wolf Fourcade | Psychiatry & Neurology | 4 Allegheny Ctr Bldg 8th, Pittsburgh, PA 15212-5255 | 2013-04-24 |
| 1285977439 | Frank A. Fetterolf | Psychiatry & Neurology | 401 Shady Ave Ste D103, Pittsburgh, PA 15206-4460 | 2013-04-05 |
| 1356688592 | Adam William Hahn | Psychiatry & Neurology | 11 Camden Dr, Pittsburgh, PA 15215-1409 | 2013-01-08 |
| 1265797542 | Elizabeth Helton | Psychiatry & Neurology | Four Allegheny Center, Pittsburgh, PA 15212-5255 | 2012-07-12 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15212 |
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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.