DR. EDWIN R FULLER III (NPI# 1922022110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922022110 |
| Entity Type | Individual |
| Full Name | DR. EDWIN R FULLER III |
| Credential | MD |
| Practice Address |
7024 Burnett-womack Building Cb#7155 Chapel Hill NC 27599-0001 |
| Practice Telephone | 9199662561 |
| Practice Fax Number | 9199664251 |
| Mailing Telephone | 9199662561 |
| Mailing Fax Number | 9199664251 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0501405 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5901671 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396765475 | Edwin S Fuller | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 North, Demorest, GA 30535 | 2006-07-20 |
| 1306846498 | Edwin B Fuller | Orthopaedic Surgery | 655 Euclid Ave, Suite 301, National City, CA 91950-2957 | 2005-07-29 |
| Street Address |
7024 BURNETT-WOMACK BUILDING CB#7155 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902216757 | Evan Zeitler | Internal Medicine | 102 Mason Farm Road, Cb 7020, Chapel Hill, NC 27599-7020 | 2014-05-02 |
| 1104111574 | Harpreet Kaur Singh | Internal Medicine | 102 Mason Farm Rd Fl 3, Chapel Hill, NC 27599-3833 | 2011-06-14 |
| 1851698237 | Mark Andrew Kleman | Internal Medicine | Unc Kidney Center 7024 Burnett Womack, Chapel Hill, NC 27599-0001 | 2011-02-21 |
| 1871656553 | Raven Abhilasha Voora | Internal Medicine | 7024 Burnett Womack Building, Cb #7155, Chapel Hill, NC 27599-0001 | 2006-12-18 |
| 1720180078 | William Francis Finn | Internal Medicine | 7030 Burnette-womack Bldg, Unc, Unc Kidney Center, Chapel Hill, NC 27599-7155 | 2006-09-05 |
| 1467566075 | Gerald A Hladik | Internal Medicine | 7008 Burnett Womack, Campus Box 7155, Chapel Hill, NC 27599-0001 | 2006-08-19 |
| 1285996447 | Monica Reynolds | Internal Medicine | 102 Mason Farm Rd, Chapel Hill, NC 27599 | 2012-06-13 |
| 1427318997 | Shannon Murphy | Internal Medicine | Acc Clinic Building Cb 7705, 102 Mason Farm Rd, Chapel Hill, NC 27599-0001 | 2012-05-18 |
| 1609145531 | Louis-philippe Laurin | Internal Medicine | 7024 Burnett Womack, Cb 7156, Chapel Hill, NC 27599-7156 | 2011-12-21 |
| 1356661144 | Kawan Antrey Swain | Internal Medicine | 7024 Burnett Womack, Cb #7155, Chapel Hill, NC 27599-0001 | 2010-06-03 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
Please comment or provide details below to improve the information on DR. EDWIN R FULLER III.
| 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.