DR. CHARLES W FULLER (NPI# 1780680439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780680439 |
| Entity Type | Individual |
| Full Name | DR. CHARLES W FULLER |
| Credential | M.D. |
| Practice Address |
1933 Pine St Ste B Abilene TX 79601-2431 |
| Practice Telephone | 3256750338 |
| Practice Fax Number | 3256765049 |
| Mailing Telephone | 3256750338 |
| Mailing Fax Number | 3256765049 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2011-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | F3971 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | F3971 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FIRST CARE HMO | 113131101 | 01 |
| TX | 140117607 | 05 | |
| TX | 140117624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952845240 | Charles Robert Fuller II | Counselor | 10802 Fm 2621, Brenham, TX 77833-0164 | 2016-12-06 |
| 1376091819 | Charles Fuller | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2016-09-13 |
| 1487986972 | Charles E Fuller | Counselor | 189 Professional Ct Se, Suite 105, Calhoun, GA 30701-7053 | 2010-02-08 |
| 1063518934 | Charles Fuller | Nurse Anesthetist, Certified Registered | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2006-09-16 |
| Street Address |
1933 PINE ST STE B |
| City | ABILENE |
| State | TX |
| Zip Code | 79601-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508145871 | Charles W. Fuller, Md | Family Medicine | 1933 Pine St, Suite B, Abilene, TX 79601-2431 | 2011-08-04 |
| 1265723472 | Abilene Endocrinology, P.a. | Internal Medicine | 1933 Pine St, Suite B, Abilene, TX 79601-2431 | 2011-04-21 |
| 1568617512 | Abilene Family Health Care, P.a. | Family Medicine | 1933 Pine St, Suite B, Abilene, TX 79601-2431 | 2008-11-18 |
| 1437151842 | Mark S Maxwell | Neurological Surgery | 1933 Pine St, Ste A, Abilene, TX 79601-2431 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796566 | Tabitha Callaway | Family Medicine | 14 High Life Cir, Abilene, TX 79606-3440 | 2020-09-25 |
| 1083245815 | Mikiel Medical Mall, Pllc | Family Medicine | 3347 S 2nd St, Abilene, TX 79605-1760 | 2020-01-30 |
| 1760953574 | Restore Wellness Primary Care, Pllc | Family Medicine | 4601 Buffalo Gap Rd Ste C1, Abilene, TX 79606-3363 | 2018-12-06 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1740609593 | Oyewole Jacob Olanrewaju | Family Medicine | 1150 N 18th St Ste 300, Abilene, TX 79601-2931 | 2014-04-09 |
| 1457608853 | Ashley Adames | Family Medicine | 1850 Hickory St Ste 101, Abilene, TX 79601 | 2012-08-06 |
| 1992935456 | Henry Mbah Chick Fosah | Family Medicine | 1210 N 18th St, Abilene, TX 79601-2933 | 2009-07-18 |
| 1659528479 | Armc Lp | Family Medicine | 6250 Hwy 83 / 84, Abilene, TX 79606-5215 | 2008-08-22 |
| 1902067408 | David C Belcher | Family Medicine | 100 Chestnut St Ste 101, Abilene, TX 79602-1440 | 2008-06-18 |
| 1114111580 | Stanly T Selby, M.d. | Family Medicine | 1115 Industrial Blvd, Abilene, TX 79602-7929 | 2007-08-29 |
| Find all providers in ABILENE | ||||
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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.