Valerie W. Fuller, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34-008780 Issued in OH

Practice address

55 Merz Blvd.
Ste a
Fairlawn, OH 44333

Phone

(330) 864-9000

Fax

(330) 864-9004

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valerie Witmer Former name

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Dermatology

Education

Ohio University, College of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairlawn Dermatology LLCGroup PAC ID 4789616806, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vfuller1@fairlawnderm.medentdirect.com

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.

• Fairlawn Dermatology, LLC

  • Medical Specialty Clinic/Center
  • Fairlawn, OH
  • NPI 1356376917
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatologists of Southwestern Ohio, LLC.

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  Medicare reassignment NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1275503724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERZ BLVD.",
            "address_2": "STE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERZ BLVD.",
            "address_2": "STE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 Town Park Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446857972",
            "country_code": "US",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "VALERIE",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34-008780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2801221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "WITMER",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jahnai Freeman
• Fresh Home Health Care LLC
• Lisa Monroe Friese, L.I.S.W.
• Nathaniel David Frye, DDS, MS
• John Fu, M.D.
• Angela Funovits, M.D.
• Gary Furukawa, RPH
• Emily Lynn Gable Robinson, M.A.ED., MFT
• Sharleen Gaj
• Alison Galehouse

• Dermatology Physician in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.