PHILIP S. FULLER (NPI# 1952390478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952390478 |
| Entity Type | Individual |
| Full Name | PHILIP S. FULLER |
| Credential | M.D. |
| Practice Address |
2216 Princess Anne St Suite 105 Fredericksburg VA 22401-3300 |
| Practice Telephone | 5407417830 |
| Practice Fax Number | 5407417832 |
| Mailing Telephone | 5407417830 |
| Mailing Fax Number | 5407417832 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101034522 | VA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101034522 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
0101034522 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447403209 | Philip Tod Fuller | Physician Assistant | 1411 S Potomac St, Suite 400, Aurora, CO 80012-4536 | 2008-10-24 |
| 1760592216 | Philip S Fuller | Emergency Medicine | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-08-30 |
| Street Address |
2216 PRINCESS ANNE ST SUITE 105 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974167 | Vikas Gupta | Internal Medicine | 2216 Princess Anne St, Suite 201, Fredericksburg, VA 22401-3300 | 2005-09-30 |
| 1487093670 | Family Care of Fredericksburg, Plc | Family Medicine | 2216 Princess Anne St, Suite 106, Fredericksburg, VA 22401-3300 | 2013-06-20 |
| 1063640357 | Leigh Kim Florio | Physician Assistant | 2216 Princess Anne St, Fredericksburg, VA 22401-3300 | 2009-06-25 |
| 1457560997 | Rheumatology Associates of Central Virginia LLC | Internal Medicine | 2216 Princess Anne St, Suite 203, Fredericksburg, VA 22401-3300 | 2007-05-22 |
| 1487875381 | Kelly Bonner | Physician Assistant | 2216 Princess Anne St, Suite 204, Fredericksburg, VA 22401-3300 | 2007-05-01 |
| 1194743005 | Internal Medicine of Fredericksburg | Internal Medicine | 2216 Princess Anne St, Suite 107, Fredericksburg, VA 22401-3300 | 2006-07-18 |
| 1851318505 | Rehabilitation Medicine Physicians | Physical Medicine & Rehabilitation | 2216 Princess Anne St, Suite 203, Fredericksburg, VA 22401-3300 | 2006-07-17 |
| 1922038207 | M. Ohn Maung, Md, P.C. | Internal Medicine | 2216 Princess Anne St, Suite 106, Fredericksburg, VA 22401-3300 | 2006-07-03 |
| 1548299324 | New Beginnings Ob/gyn, P.C. | Obstetrics & Gynecology | 2216 Princess Anne St, Fredericksburg, VA 22401-3300 | 2006-07-02 |
| 1427087212 | Raymond S. Jones, Md | Pediatrics | 2216 Princess Anne St, Fredericksburg, VA 22401-3300 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861739518 | Pascal Ngongmon | Internal Medicine | 1101 Sam Perry Blvd Ste 411, Fredericksburg, VA 22401-4466 | 2013-01-14 |
| 1801158217 | Central Virginia Sleep Center, Plc | Internal Medicine | 912 Lafayette Blvd, Fredericksburg, VA 22401-5617 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776347 | Sound Sleep LLC | Internal Medicine | 6626 Muir Dr, Haymarket, VA 20169-2742 | 2020-10-06 |
| 1528691839 | Loudoun Medical Group . P.c | Internal Medicine | 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 | 2020-02-14 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1295135523 | Blue Ridge Medical Management Corp | Internal Medicine | 320 Valley St Ne, Abingdon, VA 24210-2912 | 2014-08-22 |
| 1821409590 | Loudoun Medical Group PC | Internal Medicine | 3687 Fettler Park Dr, Dumfries, VA 22025-2049 | 2014-05-15 |
| 1134530900 | Loudoun Medical Group PC | Internal Medicine | 4897 Prince William Pkwy, Suite C 102, Woodbridge, VA 22192-5432 | 2014-05-15 |
| 1356779599 | Comprehensive Sleep Care Center Inc | Internal Medicine | 4897 Prince William Pkwy Ste 102, Woodbridge, VA 22192-5433 | 2013-10-25 |
| 1366708786 | Jessica Amy Riggs | Internal Medicine | 2901 Telestar Ct Ste 300, Falls Church, VA 22042-1263 | 2012-04-10 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.