DAVID LEE FULLER (NPI# 1841359262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841359262 |
| Entity Type | Individual |
| Full Name | DAVID LEE FULLER |
| Credential | M.D. |
| Practice Address |
612 Pasteur Dr Ste 200 Greensboro NC 27403-1149 |
| Practice Telephone | 3368524051 |
| Mailing Telephone | 3368524051 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20393 | NC | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
20393 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST | 24019 | 01 |
| NC | BCBS NC | 34114 | 01 |
| NC | 8911441 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629135942 | David Scott Fuller | Chiropractor | 1218 Welsh Rd, Suite C, North Wales, PA 19454-2055 | 2007-01-03 |
| 1033149448 | David G Fuller | Family Medicine | 2209 Coffee Rd., Suite I, Modesto, CA 95355 | 2006-07-03 |
| 1275590101 | David Allen Fuller | Dentist | 2250 Ne Professional Ct., Bend, OR 97701-6063 | 2006-04-26 |
| 1093101495 | David Frederick Fuller | Hospitalist | 4401 Wornall Rd, Kansas City, MO 64111 | 2015-04-13 |
| 1962898692 | David Lee Fuller II | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2015-04-09 |
| 1831506377 | David Daniel Fuller | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2014-07-16 |
| 1841615358 | David Fuller | Physical Therapist | 6525 N Meridian Ave, #311, Oklahoma City, OK 73116-1420 | 2014-02-20 |
| 1770823312 | David Fuller | Counselor | 3001 Scenic Hwy, Gadsden, AL 35904-3047 | 2013-02-19 |
| 1831499367 | David Christopher Fuller | Physical Therapist | 227 S Main St, Beaver Dam, KY 42320-2131 | 2010-11-01 |
| 1790932705 | David C. Fuller | Physical Therapist | 1101 N Rock Rd, Derby, KS 67037-3705 | 2008-08-20 |
| Street Address |
612 PASTEUR DR STE 200 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003894254 | Carla Lang | Counselor | 612 Pasteur Dr, Suite 207, Greensboro, NC 27403-1149 | 2006-01-06 |
| 1588113682 | Sasha Giles | Social Worker | 612 Pasteur Dr, #400, Greensboro, NC 27403-1149 | 2016-09-29 |
| 1295111581 | Chrysalis Counseling and Consultation Center, Inc | Counselor | 612 Pasteur Dr, Suite 405, Greensboro, NC 27403-1149 | 2015-08-10 |
| 1982092896 | Brenda Rose | Counselor | 612 Pasteur Dr, Suite 405, Greensboro, NC 27403-1149 | 2014-12-30 |
| 1821334756 | David Nathaniel Buchanan Jr. | Social Worker | 612 Pasteur Dr, Suite 400, Greensboro, NC 27403-1149 | 2012-12-21 |
| 1184975443 | Conscious Awakening Counseling and Consulting Pllc | Social Worker | 612 Pasteur Dr, 209, Greensboro, NC 27403-1149 | 2012-09-27 |
| 1942573043 | Maruka J Rivers | Social Worker | 612 Pasteur Dr, 209, Greensboro, NC 27403-1149 | 2012-02-21 |
| 1306151311 | Triad Human Services, LLC | Counselor | 612 Pasteur Dr, Suite 106, Greensboro, NC 27403-1120 | 2010-08-13 |
| 1710290960 | Alexander Lowell Gill | Dentist | 612 Pasteur Dr, Suite 101, Greensboro, NC 27403-1149 | 2010-07-16 |
| 1881825230 | Keep It Healthy, Inc. | Dietitian, Registered | 612 Pasteur Dr, Suite 108, Greensboro, NC 27403-1149 | 2009-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| 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 |
|---|---|---|---|---|
| 1538620604 | Associates In Intelligent Psychiatry Pllc | Psychiatry & Neurology | 806 Green Valley Rd Ste 200, Greensboro, NC 27408-7076 | 2019-03-29 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1639412695 | Alexander Arya Eksir | Psychiatry & Neurology | 3859 Battleground Ave Ste 202, Greensboro, NC 27410-9580 | 2013-03-28 |
| 1871817114 | Victor H Morcos | Psychiatry & Neurology | 57 Lands End Dr, Greensboro, NC 27408-3841 | 2010-03-16 |
| 1497943286 | Shamsher Singh Ahluwalia | Psychiatry & Neurology | 2211 W Meadowview Rd Ste 108, Greensboro, NC 27407-3408 | 2007-10-05 |
| 1386849313 | Uncg Psychology Clinic | Psychiatry & Neurology | 200 E. Northwood St., Suite 320, Greensboro, NC 27401 | 2007-06-19 |
| 1366654329 | Kenneth Jay Headen | Psychiatry & Neurology | 806 Summit Ave, Greensboro, NC 27405-7861 | 2007-05-04 |
| 1720110976 | Xaver Franz Hertle | Psychiatry & Neurology | 202 Rockford Road, Greensboro, NC 27408-5116 | 2007-03-12 |
| 1659435576 | Stephen Brian Sanders | Psychiatry & Neurology | 3 Centerview Dr, Suite 150, Greensboro, NC 27407 | 2006-12-22 |
| 1598850844 | Sbn Incorporated | Psychiatry & Neurology | 2401 S Side Blvd, Greensboro, NC 27406-3311 | 2006-10-03 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on DAVID LEE 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.