MICHAEL FULLER (NPI# 1780044586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780044586 |
| Entity Type | Individual |
| Full Name | MICHAEL FULLER |
| Credential | MD |
| Practice Address |
6490 Main St Ste 1 Williamsville NY 14221-5853 |
| Practice Telephone | 7168831991 |
| Mailing Telephone | 7168831991 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 265403 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013577667 | Michael Fuller | Licensed Practical Nurse | 1539 Cuba Rd, Mayfield, KY 42066-6809 | 2019-06-17 |
| 1376027508 | Michael Fuller | Case Manager/Care Coordinator | 3284 N Bend Rd Ste 108, Cincinnati, OH 45239-7688 | 2018-09-24 |
| 1144638594 | Michael Fuller | Counselor | 777 Silver Oak Dr Apt D117, Carson City, NV 89706-1908 | 2014-07-30 |
| 1568777811 | Michael Eugene Fuller | Counselor | 1743 Gay Dr, Orlando, FL 32803-1914 | 2010-08-11 |
| 1972816221 | Michael Daniel Fuller | Dentist | 7760 W Voice of America Park Dr Ste A, West Chester, OH 45069-3371 | 2010-07-15 |
| 1245461300 | Michael Fuller | Chiropractor | 1143 Kildaire Farms Rd, Cary, NC 27511-4563 | 2009-08-06 |
| 1972519049 | Michael Fuller | Dentist | 7650 Currell Blvd Ste 200, Woodbury, MN 55125-8209 | 2006-07-31 |
| 1881218303 | Michael Fuller | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-06-01 |
| 1609498302 | Michael L Fuller | Psychologist | 205 N 7th St, Zanesville, OH 43701-3791 | 2020-05-15 |
| 1083084115 | Michael Fuller | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2015-10-01 |
| Street Address |
6490 MAIN ST STE 1 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-5853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609849058 | Joseph Edward Margarone IIi | Dentist | 6490 Main St, Suite 3, Williamsville, NY 14221-5853 | 2006-02-08 |
| 1932491412 | Kevin Poynter | Licensed Practical Nurse | 6490 Main St, Suite 4, Williamsville, NY 14221-5853 | 2011-05-03 |
| 1346433075 | Suburban Oral & Maxillofacial Surgery Associates PC | Dentist | 6490 Main St, Suite3, Williamsville, NY 14221-5853 | 2007-08-27 |
| 1235344714 | Allstate Homecare of Buffalo, Inc | Home Health | 6490 Main St, Suite 4, Williamsville, NY 14221-5853 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225285356 | Stephen Joseph Gawronski | General Practice | 90 Foxpoint West, Williamsville, NY 14221 | 2008-08-20 |
| 1225293772 | Barbara J Gauger | General Practice | 15 Limestone Dr, Williamsville, NY 14221-7051 | 2008-07-24 |
| 1578605036 | Dr Bernard M Eisen | General Practice | 5782 Main St, Williamsville, NY 14221-8219 | 2007-02-13 |
| 1710941521 | Nicholas James Aquino | General Practice | 1835 Maple Rd, Williamsville, NY 14221-2711 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on MICHAEL FULLER.
| 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.