Jessica Fultz (NPI# 1114445897, PAC ID# 4789959974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114445897 |
| PAC ID by PECOS | 4789959974 |
| Professional Enrollment ID | I20171016000359 |
| Full Name | Jessica Fultz |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Address |
801 Davis St Blacksburg VA 24060-7008 |
| Phone Number | 5409610218 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507886231 |
| Number of Group Practice Members | 176 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 801 Davis St, Blacksburg, VA 24060-7008 | 5409610218 | LEWIS GALE PHYSICIANS LLC |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita I Register | Obstetrics/gynecology | Lewis Gale Physicians LLC | 826 Davis St, Blacksburg, VA 24060-7010 |
| Brent M May | Physician Assistant | Lewis Gale Physicians LLC | 1902 Braeburn Dr, Salem, VA 24153-7304 |
| Vishalakshi K Sundaram | Family Medicine | Lewis Gale Physicians LLC | 4910 Valley View Nwblvd, Roanoke, VA 24012-2040 |
| Patrick William Kenney | Nurse Practitioner | Lewis Gale Physicians LLC | 1940 Braeburn Cir A, Salem, VA 24153-7388 |
| Cemil M Purut | Thoracic Surgery | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Teri Pa-c Mccormick-goodha | Physician Assistant | Lewis Gale Physicians LLC | 4550 Lee Hwy, Suite B, Dublin, VA 24084-3820 |
| Kathryn C Hoyt | Physician Assistant | Lewis Gale Physicians LLC | 101 Knotbreak Rd, Salem, VA 24153-5404 |
| Casey R Bowles | Physician Assistant | Lewis Gale Physicians LLC | 4615 Huntridge Rd, Roanoke, VA 24012-8510 |
| Mona Sadek | Obstetrics/gynecology | Lewis Gale Physicians LLC | 4231 Colonial Ave, Suite 1, Roanoke, VA 24018-4046 |
| Street Address |
801 DAVIS ST |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-7008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Fowlkes | General Surgery | Montgomery Surgery Associates LLC | 801 Davis St, Suite 1, Blacksburg, VA 24060-7022 |
| Christopher M Hicks | Urology | Montgomery Surgery Associates LLC | 801 Davis St, Blacksburg, VA 24060-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLACKSBURG + NURSE PRACTITIONER |
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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.