Christopher K Fuller (NPI# 1962466961, PAC ID# 7416128004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1962466961 |
| PAC ID by PECOS | 7416128004 |
| Professional Enrollment ID | I20110910002907 |
| Full Name | Christopher K Fuller |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Address |
12469 Timberland Blvd Suite 501 Fort Worth TX 76244-5216 |
| Phone Number | 8174316555 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3971827791 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 | 8174316555 | EPIPHANY DERMATOLOGY PA |
| 206 Denton Dr, Roanoke, TX 76262-6112 | 6822372271 | EPIPHANY DERMATOLOGY PA |
| 7106 New Sanger Rd, Waco, TX 76712-3928 | 2545371265 | EPIPHANY DERMATOLOGY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 97% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 97% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liesl Shockley Grenier | Dermatology | Epiphany Dermatology Pa | 1323 E Franklin St, Suite 103, Hillsboro, TX 76645-2679 |
| Sheevam Shah | Dermatology | Epiphany Dermatology Pa | 2405 S Clear Creek Rd, Epiphany Dermatology of Killeen, Killeen, TX 76549-5775 |
| Huayi Zhang | Dermatology | Epiphany Dermatology Pa | 9191 Kyser Way Bldg, 3 Suite B, Frisco, TX 75033-1902 |
| Cheryl Noelani Sundlov | Physician Assistant | Epiphany Dermatology Pa | 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 |
| Victoria A Meraz | Physician Assistant | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Wesley Bull | Physician Assistant | Epiphany Dermatology Pa | 195 River N Boulevard, Stephenville, TX 76401-1804 |
| Andrea L Mclin | Physician Assistant | Epiphany Dermatology Pa | 204 Wj Boaz Rd, Suite 200, Saginaw, TX 76179-4396 |
| Regan L Hurt | Physician Assistant | Epiphany Dermatology Pa | 911 Lamar Ave, Paris, TX 75460-4681 |
| Adrian Matthew Guevara | Dermatology | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Nancy M Chung | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Street Address |
12469 TIMBERLAND BLVD SUITE 501 |
| City | FORT WORTH |
| State | TX |
| Zip | 76244-5216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Noelani Sundlov | Physician Assistant | Epiphany Dermatology Pa | 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 |
| Kerbi D Elsenbroek | Physician Assistant | Epiphany Dermatology Pa | 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhaveskumar R Patel | Optometry | 12584 N Beach St, Suite 122, Fort Worth, TX 76244-4251 | |
| Julie Nguyen | Dermatology | 3516 Golden Triangle Blvd, Suite 120, Fort Worth, TX 76244-4801 | |
| Ryan M Pond | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Augustine J Lee | Colorectal Surgery (proctology) | 10840 Texas Health Trail, Suite 200, Fort Worth, TX 76244-4897 | |
| Shawn Arthur Leveridge | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Mary Annette Fischer | Physician Assistant | Wfo Group LLC | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Shane A Clark | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Richard W Hazen | Pulmonary Disease | Texas Health Physicians Group | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Oluwaseun O Odumosu | Family Medicine | Texas Health Physicians Group | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Bushra Khalil | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Find all physicians in zip 76244 | |||
| City | FORT WORTH |
| Zip Code | 76244 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT WORTH + DERMATOLOGY |
Please comment or provide details below to improve the information on Christopher K Fuller.
| 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.