Kristopher R Fultz (NPI# 1083842439, PAC ID# 8527291343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1083842439 |
| PAC ID by PECOS | 8527291343 |
| Professional Enrollment ID | I20150209001579 |
| Full Name | Kristopher R Fultz |
| Organization Legal Name | PUEBLO PULMONARY ASSOCIATES |
| Address |
1600 N Grand Ave Suite 140 Pueblo CO 81003-2755 |
| Phone Number | 7195641542 |
| Gender | M |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769372093 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060020 | PARKVIEW MEDICAL CENTER INC |
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| 061323 | PROWERS MEDICAL CENTER |
| 061336 | ARKANSAS VALLEY REGIONAL MEDICAL CENTER |
| 060015 | CENTURA HEALTH-ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2755 | 7195641542 | PUEBLO PULMONARY ASSOCIATES |
| Organization Legal Name | PUEBLO PULMONARY ASSOCIATES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kati J Foechterle | Nurse Practitioner | Pueblo Pulmonary Associates | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2755 |
| Craig S Shapiro | Pulmonary Disease | Pueblo Pulmonary Associates | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2755 |
| Marcel J Junqueira | Pulmonary Disease | Pueblo Pulmonary Associates | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2755 |
| Megan C Reichmuth | Pulmonary Disease | Pueblo Pulmonary Associates | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2755 |
| Joshiah Gordon | Pulmonary Disease | Pueblo Pulmonary Associates | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2755 |
| Street Address |
1600 N GRAND AVE SUITE 140 |
| City | PUEBLO |
| State | CO |
| Zip | 81003-2755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurel Elizabeth Wright | Obstetrics/gynecology | Parkview Ancillary Services Corporation | 1600 N Grand Ave, 400 Womens Health Center, Pueblo, CO 81003-2760 |
| Christopher J Calcagno | Gastroenterology | Parkview Ancillary Services Corporation | 1600 N Grand Ave, Suite 300, Pueblo, CO 81003-2742 |
| Coral B Martinez | Nurse Practitioner | Parkview Ancillary Services Corporation | 1600 N Grand Ave, 150 Parkview Gastroenterology, Pueblo, CO 81003-2749 |
| Kati J Foechterle | Nurse Practitioner | Pueblo Pulmonary Associates | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2755 |
| Aparna Seetharama | Hospice/palliative Care | Parkview Ancillary Services Corporation | 1600 N Grand Ave, 345 Parkview Palliative Medicine, Pueblo, CO 81003-2762 |
| Henrique J Fernandez | Gastroenterology | Digestive Diseases Specialists of Colorado,llc | 1600 N Grand Ave, Suite 440, Pueblo, CO 81003-2760 |
| Maritza Proano | Gastroenterology | Digestive Diseases Specialists of Colorado,llc | 1600 N Grand Ave, Suite 440, Pueblo, CO 81003-2760 |
| Shreya J Shetty | General Surgery | Sangre De Cristo Surgical Associates PC | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2760 |
| Sergio A Toledo Valdovinos | General Surgery | Sangre De Cristo Surgical Associates PC | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2760 |
| Sung K Yang | Gastroenterology | Parkview Ancillary Services Corporation | 1600 N Grand Ave, 150 Parkview Gastroenterology, Pueblo, CO 81003-2749 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos J Rodriguez | Clinical Psychologist | 803 W 4th St H, New Beginnings Mental Health Servic, Pueblo, CO 81003-2371 | |
| Lauren E Spain | Physician Assistant | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Christopher J Stark | Hospitalist | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Christopher W Harper | Anesthesiology | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Lynn M Shields | Nurse Practitioner | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Peter Lochow | Interventional Cardiology | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Ronda M Orndoff | Nurse Practitioner | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Audrey Sonin | Certified Registered Nurse Anesthetist (crna) | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Pantelis Hadjizacharia | Vascular Surgery | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Scott A Walmer | Psychiatry | Parkview Ancillary Services Corporation | 1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 |
| Find all physicians in zip 81003 | |||
| City | PUEBLO |
| Zip Code | 81003 |
| Specialty | HOSPITALIST |
| City + Specialty | PUEBLO + HOSPITALIST |
Please comment or provide details below to improve the information on Kristopher R Fultz.
| 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.