Eric David Fulcher (NPI# 1306030499, PAC ID# 8123115359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1306030499 |
| PAC ID by PECOS | 8123115359 |
| Professional Enrollment ID | I20080215000553 |
| Full Name | Eric David Fulcher |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Address |
1850 Bluegrass Ave Louisville KY 40215-1199 |
| Phone Number | 5023616000 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2466364997 |
| Number of Group Practice Members | 226 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1 Trillium Way, Corbin, KY 40701-8420 | 6065281212 | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| 1850 Bluegrass Ave, Louisville, KY 40215-1199 | 5023616000 | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Mayer Romain Khafi | Emergency Medicine | Southeastern Emergency Physicians LLC | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Thomas C Damhoff | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Daren William Cox | Emergency Medicine | Southeastern Emergency Physicians LLC | 990 Oak Ridge Turnpike, Oak Ridge, TN 37830-6976 |
| Andrew Hunter Wheeler | Emergency Medicine | Southeastern Emergency Physicians LLC | 456 Burnley Rd, Scottsville, KY 42164-6355 |
| Mary E Harkleroad | Family Medicine | Southeastern Emergency Physicians LLC | 1 Trillium Way, Corbin, KY 40701-8420 |
| Lamin Bangura | Family Medicine | Southeastern Emergency Physicians LLC | 1080 Ellington Pkwy, Lewisburg, TN 37091-2227 |
| William J Mcintyre | Emergency Medicine | Southeastern Emergency Physicians LLC | 55 Foundation Dr, Flemingsburg, KY 41041-9815 |
| Robert A Hill | Family Medicine | Southeastern Emergency Physicians LLC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Shirley K Catron | Family Medicine | Southeastern Emergency Physicians LLC | 723 Old Burkesville Rd, Albany, KY 42602-1654 |
| James L Fritzsche | Emergency Medicine | Southeastern Emergency Physicians LLC | 9352 Park W Blvd, Knoxville, TN 37923-4325 |
| Street Address |
1850 BLUEGRASS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip | 40215-1199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misha Kelly Rhodes | Hospitalist | Komg-louisville Region Inc | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Ann M Lombardi | Internal Medicine | Komg-louisville Region Inc | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Lance Mclean Hottman | Emergency Medicine | Southeastern Emergency Physicians LLC | 1850 Bluegrass Ave, Louisville, KY 40215-1199 |
| Chelsea B Garrison | Emergency Medicine | Southeastern Emergency Physicians LLC | 1850 Bluegrass Ave, Louisville, KY 40215-1199 |
| Imran S Nasir | Family Medicine | Komg-louisville Region Inc | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Rhonda L Corbett | Nurse Practitioner | Komg-louisville Region Inc | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Jaseena Elikkottil | Internal Medicine | Komg-louisville Region Inc | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Kelly S Vanbussum | Nurse Practitioner | Komg-louisville Region Inc | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Carrie M Araneta | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Valerie F Briones-pryor | Internal Medicine | Komg-louisville Region Inc | 1850 Bluegrass Ave, Louisville, KY 40215-1161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad R Schulten | Oral Surgery | Thad R. Schulten Psc | 4515 Churchman Ave, Louisville, KY 40215-1109 |
| Earl Edward Ellis | Psychologist, Clinical | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Warren E Milteer | Internal Medicine | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Ashley Hill | Qualified Speech Language Pathologist | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Tiffany R Mcintyre | Occupational Therapy | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Toufic A Fakhoury | Neurology | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Hayley Russell | Nurse Practitioner | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Ashley Newton | Nurse Practitioner | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Richard T Holt | Orthopedic Surgery | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Christopher S Ross | Occupational Therapy | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Find all physicians in zip 40215 | |||
| City | LOUISVILLE |
| Zip Code | 40215 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LOUISVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Eric David Fulcher.
| 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.