Jace Paul Fullmer (NPI# 1306145776, PAC ID# 6608007612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1306145776 |
| PAC ID by PECOS | 6608007612 |
| Professional Enrollment ID | I20150824002501 |
| Full Name | Jace Paul Fullmer |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
5121 S Cottonwood Dr Imed Wound Care Murray UT 84157 |
| Phone Number | 8014088998 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460004 | MCKAY DEE HOSPITAL |
| 460061 |
| Address | Phone | Organization |
|---|---|---|
| 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 | 8014088998 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
5121 S COTTONWOOD DR IMED WOUND CARE |
| City | MURRAY |
| State | UT |
| Zip | 84157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Morris Brown | Internal Medicine | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Phys Billing, Murray, UT 84157-5701 |
| Brittany Bench | Nurse Practitioner | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Paul A House | Neurosurgery | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Phys Billing, Murray, UT 84157-5701 |
| Stephanie S Gelman | Infectious Disease | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Phys Billing, Murray, UT 84157-5701 |
| Jamile Sarah Woods | Pulmonary Disease | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Cabe Riso Clark | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Jeffrey Alan Goss | Nurse Practitioner | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Virginia B Hebl | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Ekg Phys, Murray, UT 84157 |
| Cassandra Renee Davenport | Nurse Practitioner | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Phys Billing, Murray, UT 84157-5701 |
| Hallie Megan French | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk M Gilmore | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Luisa Edith Todd | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Ekg Phys, Murray, UT 84157 |
| Howard Colman | Neurosurgery | Ihc Health Services Inc | 5121 S Cottonwood Dr, Intermtn Med Ekg, Murray, UT 84157 |
| Michele Marie Larson | Nurse Practitioner | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Ekg Phys, Murray, UT 84157 |
| Charles Gregory Elliott | Pulmonary Disease | Ihc Health Services Inc | 5121 S Cottonwood Dr, Intermtn Med Ekg, Murray, UT 84157 |
| Carolyn L Anctil | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood Dr, Intermtn Med Ekg, Murray, UT 84157 |
| Shawn Michael Smith | Neurology | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Lee Ann Freeman | Nurse Practitioner | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Vivian Y Lee | Pulmonary Disease | Ihc Health Services Inc | 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 |
| Jonathan B Mckean | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood Dr, Intermtn Med Ekg, Murray, UT 84157 |
| Find all physicians in zip 84157 | |||
| City | MURRAY |
| Zip Code | 84157 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MURRAY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jace Paul Fullmer.
| 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.