Fulton Family Health Associates, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FULTON FAMILY HEALTH ASSOCIATES, P.C.

Practice address

2613 Fairway Dr
Suite C
Fulton, MO 65251-3936

Phone

(573) 642-1990

Fax

(573) 642-1866

NPI assigned

Jul 4, 2006

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jaime Motes

Title

Office Manager

Phone

(573) 642-1990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1225068455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 FAIRWAY DR",
            "address_2": "SUITE C",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652513936",
            "telephone_number": "573-642-1990",
            "fax_number": "573-642-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 FAIRWAY DR",
            "address_2": "SUITE C",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652513936",
            "telephone_number": "573-642-1990",
            "fax_number": "573-642-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON FAMILY HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "MOTES",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-642-1990",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504746603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Fletcher, PT, DPT, ATC
• Manfredo Florescruz
• Ashleigh Fox, LCSW
• Brittanie Frost, RN
• Amy N Fuemmeler, LPC
• Fulton Manor Inc (Fulton Manor Care Center)
• Fulton Medical Center LLC
• Fulton Medical Center LLC
• Fulton Medical Center LLC
• Fulton Medical Center LLC (Fulton Medical Clinic)

• Family Medicine Physician in Fulton, MO
• Providers in Fulton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.