Robert Fuller (NPI# 1386651628, PAC ID# 9931179322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1386651628 |
| PAC ID by PECOS | 9931179322 |
| Professional Enrollment ID | I20080229000188 |
| Full Name | Robert Fuller |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
3300 Rivermont Ave Lynchburg VA 24503-2030 |
| Phone Number | 4342005999 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490009 | UNIVERSITY OF VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1204 W Main St, 3rd Floor, Charlottesville, VA 22908 | 4349242500 | UNIVERSITY OF VIRGINIA PHYSICIANS GROUP |
| 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 4342005999 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Physicians | 561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian J Ksionski | Family Medicine | Centra Medical Group LLC | 935 S Main St, Farmville, VA 23901-2211 |
| Weijuan M Li | Interventional Cardiology | Centra Medical Group LLC | 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jordan J Synkowski | Neurosurgery | Centra Medical Group LLC | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 |
| Oluloniyin E Peters | Physical Medicine and Rehabilitation | Centra Medical Group LLC | 1330 Oak Ln, Lynchburg, VA 24503-2513 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Hope A Alexander | Nurse Practitioner | Centra Medical Group LLC | 412 Namozine St, Burkeville, VA 23922-3184 |
| Street Address |
3300 RIVERMONT AVE |
| City | LYNCHBURG |
| State | VA |
| Zip | 24503-2030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B Anthony | Occupational Therapy | Centra Outpatient Rehabilitation Services LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Kelsey Thornton Wood | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Edward E Metzger | Anesthesiology | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Lapetra Whigham | Clinical Social Worker | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Kimberly Swanson | Certified Registered Nurse Anesthetist (crna) | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Maureen Mahland | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Mateusz Broszko | Psychiatry | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Jitendra R Annapareddy | Psychiatry | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Chelsea E St Clair | Clinical Social Worker | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Anila Sodhi | Certified Registered Nurse Anesthetist (crna) | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley N Chieppa | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| David Wilson | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Kappa P Peddy | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Mark D Macgregor | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Brian D Jalbert | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Alisa Funke | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Carrell R Spann | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Soni S Carlton | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Margaret L Osborne | Chiropractic | Rivermont Chiropractic Inc | 2915 Rivermont Ave, Lynchburg, VA 24503-1407 |
| Sanket Rajaram Dhat | Psychiatry | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Find all physicians in zip 24503 | |||
| City | LYNCHBURG |
| Zip Code | 24503 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LYNCHBURG + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Robert 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.