Jonathan H Fuller (NPI# 1013315001, PAC ID# 1658643432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013315001 |
| PAC ID by PECOS | 1658643432 |
| Professional Enrollment ID | I20180628001046 |
| Full Name | Jonathan H Fuller |
| Address |
1401 Rainbow Dr Suite B Gadsden AL 35901-5319 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010046 | RIVERVIEW REGIONAL MEDICAL CENTER |
| 010104 | GRANDVIEW MEDICAL CENTER |
| 010040 | GADSDEN REGIONAL MEDICAL CENTER |
| 010005 | MARSHALL MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 1401 Rainbow Dr, Suite B, Gadsden, AL 35901-5319 |
| Street Address |
1401 RAINBOW DR SUITE B |
| City | GADSDEN |
| State | AL |
| Zip | 35901-5319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumadchand J Shah | Pulmonary Disease | 1401 Rainbow Dr, Gadsden, AL 35901-5319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Just | Neurology | John A Just Md, 502 Soth 4th Street, Gadsden, AL 35901 | |
| James A Mccain | Internal Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Janice L Parker | Nurse Practitioner | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Lawrence R Ware | Family Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Smithson O Ahiabuike | Internal Medicine | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
| Richard A West | Nurse Practitioner | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
| Janie T Teschner | General Practice | 1016 Forrest Ave, Gadsden, AL 35901-3540 | |
| Jordan C Holder | Nurse Practitioner | 1024 1st Ave, Gadsden, AL 35901-3544 | |
| Frederick W Kelly | Family Medicine | 1024 1st Ave, Gadsden, AL 35901-3544 | |
| Donna Lee | Optometry | 221 Broad St, Gadsden, AL 35901-3713 | |
| Find all physicians in zip 35901 | |||
| City | GADSDEN |
| Zip Code | 35901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GADSDEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jonathan H Fuller.
| 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.