Nathaniel Fuller, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0052764 Issued in MD

Practice address

11110 Medical Campus Rd
Suite 200
Hagerstown, MD 21742-6700

Phone

(301) 714-4300

Fax

(301) 714-4324

NPI assigned

May 17, 2006

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Anesthesia Partners, LLC

  • Anesthesiology Physician
  • Chevy Chase, MD
  • NPI 1265715692

  DC

  Medicare reassignment NPD
• Anesthesia Management Solutions LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1467880500

  MD

  Medicare reassignment NPD
• Cumberland Anesthesia Ams LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1033531785

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1215989272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 200",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4300",
            "fax_number": "301-714-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 200",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4300",
            "fax_number": "301-714-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "NATHANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0052764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Danielle Freudenthal, PTA, ATC
• Gerald E Frey Jr., PA-C
• Karl Frey, LAC
• Julia Fritz, RN
• Cheryl Ann Frushour, RD, LDN
• Robert Fuller
• Tammi Pauline Fuller, CNM, MS
• Jamie Funk
• Taylor B Funk, MA
• Susan Heinz Funke, C.N.M.

• Anesthesiology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.