MR. MATTHEW FULLER (NPI# 1992156681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992156681 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW FULLER |
| Practice Address |
34 Eldor Dr South Walpole MA 02071-1020 |
| Practice Telephone | 5084047602 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750946950 | Matthew Fuller | Counselor | 111 Lucky Dr, Ormond Beach, FL 32176-6672 | 2019-05-03 |
| 1629678404 | Matthew Alton Fuller | Pharmacist | 11328 S Jordan Gtwy, South Jordan, UT 84095-4112 | 2020-10-29 |
| 1043671431 | Matthew John Fuller | Chiropractor | 3727 Buchanan Street, 203, San Francisco, CA 95134 | 2016-03-11 |
| 1457793549 | Matthew David Fuller | Pharmacist | 270 Central Pkwy, Heath, OH 43056-1278 | 2013-07-18 |
| 1396060406 | Matthew Joseph Fuller | Emergency Medicine | University of Utah Hospital, Salt Lake City, UT 84132-0001 | 2010-03-31 |
| 1417039470 | Matthew A. Fuller | Pharmacist | 10000 Brecksville Rd, Pharmacy Service 119 (b), Brecksville, OH 44141-3204 | 2006-10-19 |
| Street Address |
34 ELDOR DR |
| City | SOUTH WALPOLE |
| State | MA |
| Zip Code | 02071-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538649835 | Elizabeth Meffen | Social Worker | 2405 Main St., South Walpole, MA 02071 | 2018-08-16 |
| 1780955500 | Jenny Maria Vieira | Nurse Practitioner | 2405 Main Street, South Walpole, MA 02071 | 2012-01-25 |
| 1811467376 | Ivan Yancarlo Mendoza | Dentist | 178 Summer St, South Walpole, MA 02071-1044 | 2018-11-27 |
| 1588853139 | Michael Paul Meegan | Registered Nurse | 2 Shufelt Rd, South Walpole, MA 02071-1051 | 2007-10-19 |
| 1578170262 | Kathryn Gilligan Ryan | Speech-Language Pathologist | 28 Butch Songin Cir, South Walpole, MA 02071-1111 | 2020-09-26 |
| 1255644019 | Joan Marie Morley Driscoll | Social Worker | 32 Butch Songin Cir, South Walpole, MA 02071-1111 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170262 | Kathryn Gilligan Ryan | Speech-Language Pathologist | 28 Butch Songin Cir, South Walpole, MA 02071-1111 | 2020-09-26 |
| 1811467376 | Ivan Yancarlo Mendoza | Dentist | 178 Summer St, South Walpole, MA 02071-1044 | 2018-11-27 |
| 1538649835 | Elizabeth Meffen | Social Worker | 2405 Main St., South Walpole, MA 02071 | 2018-08-16 |
| 1780955500 | Jenny Maria Vieira | Nurse Practitioner | 2405 Main Street, South Walpole, MA 02071 | 2012-01-25 |
| 1255644019 | Joan Marie Morley Driscoll | Social Worker | 32 Butch Songin Cir, South Walpole, MA 02071-1111 | 2010-07-22 |
| 1588853139 | Michael Paul Meegan | Registered Nurse | 2 Shufelt Rd, South Walpole, MA 02071-1051 | 2007-10-19 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WALPOLE |
| Zip Code | 02071 |
Please comment or provide details below to improve the information on MR. MATTHEW 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.