Declan Fulton

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

013788 Issued in AZ

Practice address

2151 Az-92
106
Sierra Vista, AZ 85635

Phone

(520) 335-1615

NPI assigned

Oct 29, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apexnetwork Sierra Vista, PLLC

  • Physical Therapist
  • Sierra Vista, AZ
  • NPI 1083098677
  NPD
• Multicare Health System

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1083436174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 N 61ST PL UNIT 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 AZ-92",
            "address_2": "106",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-335-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "DECLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "013788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Franco, NP
• Jeffrey Lee Franz, OD
• Brittanie Freshour
• Cullen Fridley, ATC, LAT, CIDN
• David Fry, LPC
• Cynthia G. Funckes, M.D.
• Furry Chiropractic, P.C.
• James Travis Furry, D.C.
• Robin Lynn Gagnon
• Mario Beltran Garcia, LCSW

• Physical Medicine & Rehabilitation Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.