DR. PATRICK J. FULLERTON, INC (NPI# 1962743450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962743450 |
| Entity Type | Organization |
| Organization Name | DR. PATRICK J. FULLERTON, INC |
| Other Organization Name | STATMEDX URGENT CARE |
| Practice Address |
2441 S Hiawassee Rd Orlando FL 32835-6347 |
| Practice Telephone | 4073786339 |
| Practice Fax Number | 4013786466 |
| Mailing Telephone | 4073786339 |
| Mailing Fax Number | 4073786466 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | PATRICK J FULLERTON (OWNER) |
| Authorized Official Telephone | 4077545077 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OS8087 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271297100 | 05 |
| Other Name | Type Code |
|---|---|
| StatMedX Urgent Care | Doing Business As Name - Organization |
| Street Address |
2441 S HIAWASSEE RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-6347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043770803 | Kelly Renee Paeth | Nurse Practitioner | 2441 S Hiawassee Rd, Orlando, FL 32835-6347 | 2019-03-20 |
| 1962900407 | Kimngoc Thi Dang | Nurse Practitioner | 2441 S Hiawassee Rd, Orlando, FL 32835-6347 | 2018-01-30 |
| 1366969313 | Juvelyne De Guzman | Nurse Practitioner | 2441 S Hiawassee Rd, Orlando, FL 32835-6347 | 2017-08-29 |
| 1912428491 | Melissa Cobb | Nurse Practitioner | 2441 S Hiawassee Rd, Orlando, FL 32835-6347 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264297 | Good Care Rehab& Wellness Inc | Clinic/Center | 8809 Commodity Cir Ste 3, Orlando, FL 32819-9052 | 2019-06-18 |
| 1235611245 | Welcome Home Wellness Center LLC | Clinic/Center | 7732 Silver Star Rd Ste 2, Orlando, FL 32818 | 2018-09-06 |
| 1437644325 | Ch Affiliates, LLC | Clinic/Center | 5833 S Goldenrod Rd Ste 5c&d, Orlando, FL 32822-8777 | 2018-06-25 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1629591870 | The Nemours Foundation | Clinic/Center | 9368 Narcoossee Rd Ste 105, Orlando, FL 32827-5704 | 2017-07-19 |
| 1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
| 1538579685 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 2609 S. Orange Ave, Orlando, FL 32806 | 2014-04-29 |
| 1770824534 | Compassion Pediatric Urgent Care LLC | Clinic/Center | 4445 S. Semoran Boulevard Suite C, Orlando, FL 32822 | 2013-03-04 |
| 1528362381 | Solantic/marriott World Center | Clinic/Center | 8701 World Center Dr, Orlando, FL 32821-6358 | 2011-01-07 |
| 1235327412 | Total Family Care LLC | Clinic/Center | 10743 Narcoossee Road, Suite A-18, Orlando, FL 32832 | 2007-10-12 |
| Find all providers in ORLANDO | ||||
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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.