Anthony Raymond Fuller (NPI# 1073085999, PAC ID# 2466799127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1073085999 |
| PAC ID by PECOS | 2466799127 |
| Professional Enrollment ID | I20190204001297 |
| Full Name | Anthony Raymond Fuller |
| Organization Legal Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Address |
602 Indiana Lubbock TX 79415-3364 |
| Phone Number | 8067432475 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4385549674 |
| Number of Group Practice Members | 265 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450686 | UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3601 4th St, 1b350k, Lubbock, TX 79430-8182 | 8067432981 | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| 602 Indiana, Lubbock, TX 79415-3364 | 8067432475 | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Organization Legal Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Physicians | 308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Radford | Family Medicine | Texas Tech University Health Sciences Center Lubbock | 1003 Flint Ave, Lubbock, TX 79409-9803 |
| Esther R Robbins | Family Medicine | Texas Tech University Health Sciences Center Lubbock | 2602 Ave Q, Lubbock, TX 79411-2444 |
| Miguel Christian Najera | Physician Assistant | Texas Tech University Health Sciences Center Lubbock | 4000 24th St, Lubbock, TX 79410-1894 |
| Brendan J Mackay | Hand Surgery | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 210, Lubbock, TX 79415-1158 |
| Brian J Pomeroy | Pediatric Medicine | Texas Tech University Health Sciences Center Lubbock | 6630 Quaker Ave, Lubbock, TX 79413-5900 |
| Vernon Williams | General Surgery | Texas Tech University Health Sciences Center Lubbock | 3502 9th St, Suite 130, Lubbock, TX 79415-3367 |
| Leonardo R Dominguez | Ophthalmology | Texas Tech University Health Sciences Center Lubbock | 4004 82nd St, Suite 200, Lubbock, TX 79423-1900 |
| Safaa S Labib | Pathology | Texas Tech University Health Sciences Center Lubbock | 3601 4th St, 1a115, Lubbock, TX 79430-8115 |
| Honey Mae B Doctolero | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Matthew P Ferguson | Orthopedic Surgery | Texas Tech University Health Sciences Center Lubbock | 3601 4th St, Lubbock, TX 79430-9436 |
| Street Address |
602 INDIANA |
| City | LUBBOCK |
| State | TX |
| Zip | 79415-3364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Beaudoin | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| David Fincher | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| Gregory J Vanginault | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| Mark Douglas Jenkins | Orthopedic Surgery | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| John Wasnick | Anesthesiology | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| Deidre M. Putman | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| Isagani L Saculo | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana, Lubbock, TX 79415-3364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry M Landsman | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Megan Nicole Anthony | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Michelle Phillips | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Ronda L Barr | Family Medicine | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Life Barnard | Family Medicine | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Lisa Cordova | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Mary Anne Carroll | Obstetrics/gynecology | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 130, Lubbock, TX 79415-1150 |
| Jessica Martinez | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Lubbock, TX 79415-1150 |
| Brendan J Mackay | Hand Surgery | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 210, Lubbock, TX 79415-1158 |
| Erica Paige Carter | Nurse Practitioner | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 210, Lubbock, TX 79415-1158 |
| Find all physicians in zip 79415 | |||
| City | LUBBOCK |
| Zip Code | 79415 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LUBBOCK + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.