Jeremy Scott Fullingim, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4186 Issued in OK

Practice address

4500 S Garnett Rd
Tulsa, OK 74146-5229

Phone

(918) 599-5031

NPI assigned

Jun 25, 2007

Last updated

Jul 30, 2026By 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 OK, TX, AZ, NM4 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 4

Specialty

Diagnostic Radiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians

Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians

Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians

El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians

Anadarko Indian Health CenterGroup PAC ID 7719931559, 47 clinicians

Panhandle Radiology PLLCGroup PAC ID 7315033669, 6 clinicians

Wewoka Indian HealthGroup PAC ID 7517911415, 43 clinicians

Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians

The Breast CenterGroup PAC ID 8325946072, 13 clinicians

Albuquerque Indian Health CenterGroup PAC ID 7719883164, 55 clinicians

Pine Ridge Indian Health Service HospitalGroup PAC ID 4688571326, 107 clinicians

Zuni Indian HospitalGroup PAC ID 5698689644, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
• Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
• Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078
• St Mary's Regional Medical Center Hospital, Enid, OK, CCN 370026
• Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 52)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
• FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

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.

• Anadarko Indian Health Center

  • Federal Public Health Clinic/Center
  • Anadarko, OK
  • NPI 1881637403

  TX

  Medicare reassignment Care Compare group NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment Care Compare group NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment Care Compare group NPD
• Clinton Indian Health Center

  • Federal Public Health Clinic/Center
  • Clinton, OK
  • NPI 1205923448

  TX

  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1427049956
  Medicare reassignment Care Compare group NPD
• El Reno Indian Health Center

  • Public Health or Welfare Agency
  • El Reno, OK
  • NPI 1386725604

  TX

  Medicare reassignment Care Compare group NPD
• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223

  TX

  Medicare reassignment Care Compare group NPD
• Panhandle Radiology PLLC

  • Diagnostic Radiology Physician
  • Guymon, OK
  • NPI 1104018571
  Medicare reassignment Care Compare group NPD
• Pawnee Indian Health Center

  • Clinic/Center
  • Pawnee, OK
  • NPI 1629174081

  TX

  Medicare reassignment Care Compare group NPD
• The Breast Center

  • Radiology Clinic/Center
  • Lawton, OK
  • NPI 1215952023
  Medicare reassignment Care Compare group NPD
• Wewoka Indian Health

  • Community Health Clinic/Center
  • Wewoka, OK
  • NPI 1689664195

  TX

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  Care Compare affiliation
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Claremore, OK
  • NPI 1497568968

  Hospital

  Care Compare affiliation
• Northeastern Health System

  dba Tahlequah City Hospital

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  Care Compare affiliation
• Northeastern Health System

  dba Fort Gibson Medical Clinic

  • Rural Health Clinic/Center
  • Fort Gibson, OK
  • NPI 1013458652

  Hospital

  Care Compare affiliation
• Northeastern Health System

  dba Tahlequah Medical Group Primary Care

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Addiction (Substance Use Disorder) Counselor
  • Tahlequah, OK
  • NPI 1689338519

  Hospital

  Care Compare affiliation
• Oklahoma State University Medical Trust

  dba Oklahoma State University Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  Care Compare affiliation
• Saint Francis Hospital Muskogee Inc

  dba Saint Francis Hospital Muskogee

  • General Acute Care Hospital
  • Muskogee, OK
  • NPI 1386188837
  Care Compare affiliation
• Uhs of Oklahoma, LLC

  dba St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  Care Compare affiliation

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1255537304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 N 68TH WEST AVE",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740704313",
            "telephone_number": "918-269-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465229",
            "telephone_number": "918-599-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703202",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLINGIM",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia J. Fuller, M.D.
• Jennifer Kathryn Fuller, MA, LPC
• Latisha Fuller
• Terrance Fuller
• Dean Roy Fullingim, DO
• Ty Fullingim
• Michelle Fulmer
• Ashley Michelle Fulp
• Chelsey Fulps
• Talor Dee Fulps, DPT

• Diagnostic Radiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.