Robert V Fulmer (NPI# 1376564112, PAC ID# 7012052285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1376564112 |
PAC ID by PECOS | 7012052285 |
Professional Enrollment ID | I20111129000432 |
Full Name | Robert V Fulmer |
Organization Legal Name | SHILAND FAMILY MEDICINE |
Address |
1656 Riverchase Blvd Suite 2400 Rock Hill SC 29732-0271 |
Phone Number | 8033295131 |
Gender | M |
Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4981677838 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
420002 | PIEDMONT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 | 8033295131 | SHILAND FAMILY MEDICINE |
Organization Legal Name | SHILAND FAMILY MEDICINE |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
William A. Jackson | Family Medicine | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
Stephen R. Martin | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Brian Williams | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Inna Slisz | Family Medicine | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
Kelly T Williamson | Nurse Practitioner | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
Rosalind V Becker | Physician Assistant | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Natasha Renee Pyfrom | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Rebecca L Mcclough | Physician Assistant | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Sheri Kirn Jamal | Family Medicine | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
Usha Balmuri | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Street Address |
1656 RIVERCHASE BLVD SUITE 2400 |
City | ROCK HILL |
State | SC |
Zip | 29732-0271 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Michael Fedor | Cardiac Electrophysiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Rock Hill, SC 29732-2084 |
Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Hyonah Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Stephen R. Martin | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Brian Williams | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
Shirley K Scott | General Surgery | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Kim S Nathan | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
Rosalind V Becker | Physician Assistant | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
David S Nix | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 1656 Riverchase Blvd, Suite 1400, Rock Hill, SC 29732-1724 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
John Carl Cedarholm | Interventional Cardiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
Crystal Rachelle Vaglia | Nurse Practitioner | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Brian Alan Perry | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Kelly Clifford | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
James Essenberg | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Richard D Redvanly | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Brian Harshman | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Jeremy Inkwon Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
William Carey Werthmuller | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
Find all physicians in zip 29732 |
City | ROCK HILL |
Zip Code | 29732 |
Specialty | FAMILY MEDICINE |
City + Specialty | ROCK HILL + FAMILY MEDICINE |
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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.