DR. GEORGE S. FULTZ (NPI# 1659564326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659564326 |
| Entity Type | Individual |
| Full Name | DR. GEORGE S. FULTZ |
| Credential | M.D. |
| Practice Address |
316 Geele Ave Sheboygan WI 53083-5060 |
| Mailing Address |
3120 S Business Dr # 291 Sheboygan WI 53081-6524 |
| Practice Telephone | 9204585163 |
| Mailing Telephone | 9204585163 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD0000015941 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
316 GEELE AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518290451 | Steven Kenneth Kanter | Radiology | 4323 Morning View Ct, K206, Sheboygan, WI 53081-1236 | 2009-09-10 |
| 1538248760 | Open Mri of Sheboygan LLC | Radiology | 1414 North Taylor, Open Mri of Sheboygan, Sheboygan, WI 53081 | 2006-11-06 |
| 1366559254 | Randal J Zabrowski | Radiology | 4541 N Evergreen Dr, Sheboygan, WI 53081-7935 | 2006-08-24 |
| 1780902395 | Nathan Evan Thompson | Radiology | 2629 N 7th St, Sheboygan, WI 53083 | 2010-05-06 |
| 1134309354 | John R Slaby | Radiology | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2007-11-05 |
| 1649387846 | Awais H Siddique | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-24 |
| 1902913304 | Daniel A Peterson | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1962517094 | Steven H Falconer | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-20 |
| 1164536892 | Rick G Thyes | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-19 |
| 1083623110 | Richard L Campbell | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-07 |
| Find all providers in SHEBOYGAN | ||||
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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.