Jeryl G Fullen (NPI# 1275631020, PAC ID# 6507803400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1275631020 |
| PAC ID by PECOS | 6507803400 |
| Professional Enrollment ID | I20050412001260 |
| Full Name | Jeryl G Fullen |
| Address |
1305 E 5th Ave Winfield KS 67156-2406 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171383 | WILLIAM NEWTON HOSPITAL |
| 170150 | SOUTH CENTRAL KS MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6401 Patterson Pkwy, Arkansas City, KS 67005-5701 | 6204422500 | SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER |
| 1305 E 5th Ave, Winfield, KS 67156-2406 |
| Street Address |
1305 E 5TH AVE |
| City | WINFIELD |
| State | KS |
| Zip | 67156-2406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Bryant | Radiation Oncology | Ascension Via Christi Hospitals Wichita Inc | 1305 E 5th Ave, Winfield, KS 67156-2406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bassam I Mattar | Hematology/oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Cynthia A Groene | Nurse Practitioner | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Shaker R Dakhil | Hematology/oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Jon C Anders | Radiation Oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Shana Jarmer | Family Medicine | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Christopher Sr Dakhil | Hematology/oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| David W Jordan | Certified Registered Nurse Anesthetist (crna) | South Central Anesthesia LLP | 1300 E 5th Ave, Winfield, KS 67156-2407 |
| Ronald L Altman | Certified Registered Nurse Anesthetist (crna) | South Central Anesthesia LLP | 1300 E 5th Ave, Winfield, KS 67156-2407 |
| Michelle C Bloedel | Certified Registered Nurse Anesthetist (crna) | South Central Anesthesia LLP | 1300 E 5th Ave, Winfield, KS 67156-2407 |
| Melissa M Bartel | Diagnostic Radiology | 1300 E 5th Ave, Winfield, KS 67156-2407 | |
| Find all physicians in zip 67156 | |||
| City | WINFIELD |
| Zip Code | 67156 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WINFIELD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jeryl G Fullen.
| 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.