Roger L Fulton (NPI# 1972542488, PAC ID# 0244223675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1972542488 |
PAC ID by PECOS | 0244223675 |
Professional Enrollment ID | I20100602000705 |
Full Name | Roger L Fulton |
Organization Legal Name | HIGHLAND PHYSICIANS LTD |
Address |
1212 Broadway Highland IL 62249-1918 |
Phone Number | 6186549851 |
Gender | M |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1981 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 3870512809 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141336 | ST JOSEPH'S HOSPITAL |
140289 | ANDERSON HOSPITAL |
260179 | ST LUKES HOSPITAL |
140145 | ST JOSEPHS HOSPITAL |
Address | Phone | Organization |
---|---|---|
1212 Broadway, Highland, IL 62249-1918 | 6186549851 | HIGHLAND PHYSICIANS LTD |
Organization Legal Name | HIGHLAND PHYSICIANS LTD |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Trisha I Richards | Physician Assistant | Highland Physicians Ltd | 1212 Broadway, Highland, IL 62249-1918 |
Sara A Mcfarlane | Physician Assistant | Highland Physicians Ltd | 1212 Broadway, Highland, IL 62249-1918 |
Street Address |
1212 BROADWAY |
City | HIGHLAND |
State | IL |
Zip | 62249-1918 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer R Follwell | Family Medicine | Maryville Physicians Services LLC | 1212 Broadway, Highland, IL 62249-1960 |
Trisha I Richards | Physician Assistant | Highland Physicians Ltd | 1212 Broadway, Highland, IL 62249-1918 |
Sara A Mcfarlane | Physician Assistant | Highland Physicians Ltd | 1212 Broadway, Highland, IL 62249-1918 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol Kroll Hurley | Emergency Medicine | Maryville Medical Services LLC | 2504 Commerce, Highland, IL 62249-0017 |
Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
Mark Lacich | Chiropractic | 206 Walnut St, Highland, IL 62249-1224 | |
John W Kleinhoffer | Optometry | 1312 Mercantile Dr, Highland, IL 62249-1240 | |
Nancy J Taylor | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
Breck D Kramper | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
Pamella S Gronemeyer | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
Aiman H Hawasli | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
Nathan Scandrett | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
Laura Michelle Halpin | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
Find all physicians in zip 62249 |
City | HIGHLAND |
Zip Code | 62249 |
Specialty | INTERNAL MEDICINE |
City + Specialty | HIGHLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Roger L Fulton.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.