Timothy M Fullerton (NPI# 1295964195, PAC ID# 1355599366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295964195 |
| PAC ID by PECOS | 1355599366 |
| Professional Enrollment ID | I20120918000020 |
| Full Name | Timothy M Fullerton |
| Organization Legal Name | UPMC COMMUNITY MEDICINE INC |
| Address |
2000 Memorial Dr Farrell PA 16121-1366 |
| Phone Number | 7245282513 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062318975 |
| Number of Group Practice Members | 684 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390178 | UPMC HORIZON |
| 390266 | GROVE CITY MEDICAL CENTER |
| 390211 | SHARON REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2000 Memorial Dr, Farrell, PA 16121-1366 | 7245282513 | UPMC COMMUNITY MEDICINE INC |
| 737 Greenville Rd, Mercer, PA 16137-5070 | 7246622650 | PRIMARY HEALTH NETWORK |
| 197 E Silver St, Suite 2 10, Sharon, PA 16146-2186 | 7243426600 | PRIMARY HEALTH NETWORK |
| Organization Legal Name | UPMC COMMUNITY MEDICINE INC |
| Physicians | 772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey N Vroman | Nurse Practitioner | Upmc Community Medicine Inc | 3120 Wilmington Rd, Lawrence County Orthopedics and Sport, New Castle, PA 16105-1168 |
| Tara Degnan | Physician Assistant | Upmc Community Medicine Inc | 241 Freeport Rd, Aspinwall, PA 15215-3035 |
| Dustin M Defrancisis | Physician Assistant | Upmc Community Medicine Inc | 22681 Route 68, Clarion, PA 16214-4019 |
| Ibrahim Bawab | Otolaryngology | Upmc Community Medicine Inc | 1029 Liberty St, Franklin, PA 16323-1242 |
| Taylor N Jeannette | Physician Assistant | Upmc Community Medicine Inc | 464 Allegheny Blvd, Franklin, PA 16323-6259 |
| Kenneth L Pierson Iii | Physician Assistant | Upmc Community Medicine Inc | 20130 Route 19 1000, Cranberry Township, PA 16066-6218 |
| Tammie F Payne | Nurse Practitioner | Upmc Community Medicine Inc | 300 N Spring St, George M Zubak Upmc, Everett, PA 15537-1011 |
| Amanda L Roeder | Nurse Practitioner | Upmc Community Medicine Inc | 304 Evans Dr, Lawrence County Orthopedics and Sport, Ellwood City, PA 16117-1477 |
| Kayla M Weaver | Nurse Practitioner | Upmc Community Medicine Inc | 400 W Butler St, Family Healthcare Partners Upmc, Mercer, PA 16137-1090 |
| Jasmine N Wilson | Physician Assistant | Upmc Community Medicine Inc | 969 Greentree Rd, Pittsburgh, PA 15220-3328 |
| Street Address |
2000 MEMORIAL DR |
| City | FARRELL |
| State | PA |
| Zip | 16121-1366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James L Liszewski | Family Medicine | Upmc Community Medicine Inc | 2000 Memorial Dr, Farrell, PA 16121-1366 |
| Amanda G Carl | Family Medicine | Upmc Community Medicine Inc | 2000 Memorial Dr, Farrell, PA 16121-1366 |
| Kary J Schroyer | Family Medicine | Upmc Community Medicine Inc | 2000 Memorial Dr, Farrell, PA 16121-1366 |
| Pablo G Giuseppucci | General Surgery | University of Pittsburgh Physicians | 2000 Memorial Dr, Suite A, Farrell, PA 16121-1366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Damian Marshall | Physician Assistant | Upmc Community Medicine Inc | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Matthew T Bee | Diagnostic Radiology | Diagnostic Imaging Consultants Inc | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Martin G Johns | Family Medicine | Upmc Community Medicine Inc | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Ann K Macvay | Nurse Practitioner | Oncology Hematology Association Inc | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| David B Cline | Diagnostic Radiology | Diagnostic Imaging Consultants Inc | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Victor I Colaiaco | Internal Medicine | Upmc Community Medicine Inc | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Steven S Wilson | Radiation Oncology | University of Pittsburgh Cancer Institute Cancer Services | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Scott F Pickering | Diagnostic Radiology | Diagnostic Imaging Consultants Inc | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Sharon F Miller | Gastroenterology | Sharon F Miller Do PC | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Jwong H Ling | Radiation Oncology | University of Pittsburgh Cancer Institute Cancer Services | 2200 Memorial Dr, Farrell, PA 16121-1357 |
| Find all physicians in zip 16121 | |||
| City | FARRELL |
| Zip Code | 16121 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FARRELL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy M Fullerton.
| 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.