Tawni L Fuller (NPI# 1760741870, PAC ID# 6608022850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1760741870 |
| PAC ID by PECOS | 6608022850 |
| Professional Enrollment ID | I20120803000680 |
| Full Name | Tawni L Fuller |
| Organization Legal Name | MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC |
| Address |
1167 Independence Ave Suite 100 Marion OH 43302-6360 |
| Phone Number | 7403877200 |
| Gender | F |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 4688658958 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1167 Independence Ave, Suite 100, Marion, OH 43302-6360 | 7403877200 | MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC |
| 1167 Independence Ave, Marion, OH 43302-6360 | 7403877200 | MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC |
| Organization Legal Name | MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph C Benedetto | General Surgery | Marion Independent Physicians Association, LLC | 300 Executive Dr, Marion, OH 43302-6310 |
| Dale Alan Claes | Physical Therapy | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 102, Marion, OH 43302-6464 |
| Woodrow P Barry | Physician Assistant | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Srinivas P Ravi | General Surgery | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Rachel Fisher | Nurse Practitioner | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Mark E Davis | Family Medicine | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Elizabeth D Hensel | Physical Therapy | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Donald H Mcintire | Psychologist, Clinical | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Katie Hershey | Physical Therapy | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Kelly A Mccauley | Clinical Social Worker | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Street Address |
1167 INDEPENDENCE AVE SUITE 100 |
| City | MARION |
| State | OH |
| Zip | 43302-6360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abby Wrentmore | Clinical Social Worker | Marion Independent Physicians Association, LLC | 1167 Independence Ave, Marion, OH 43302-6360 |
| James Y Avila | Anesthesiology | Marion Independent Physicians Association, LLC | 1167 Independence Ave, Suite 100, Marion, OH 43302-6360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qihui J Liu | Family Medicine | Marion Area Physicians LLC | 130 University Dr, Suite 1100, Marion, OH 43302-1104 |
| Cassandra Louise Israel | Family Medicine | Marion Area Physicians LLC | 130 University Dr, Suite 1100, Marion, OH 43302-1104 |
| Michael Jarosick | Emergency Medicine | Ohiohealth Urgent Care LLC | 130 University Dr, Suite 1300, Marion, OH 43302-1104 |
| Charles Thompson | Family Medicine | Marion Area Physicians LLC | 130 University Dr, Suite 1100, Marion, OH 43302-1104 |
| Woodrow P Barry | Physician Assistant | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Srinivas P Ravi | General Surgery | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Rachel Fisher | Nurse Practitioner | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Mark E Davis | Family Medicine | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Elizabeth D Hensel | Physical Therapy | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Donald H Mcintire | Psychologist, Clinical | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Find all physicians in zip 43302 | |||
| City | MARION |
| Zip Code | 43302 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | MARION + CERTIFIED REGISTERED NURSE ANESTHETIST |
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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.