Active NPI
William Fowler Fulton Jr., M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 22294
- Practice address
- 2557 S Val Vista Dr
Gilbert, AZ 85295-6229 - Phone
- (480) 917-7546
- Fax
- (623) 234-2543
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 22294 | AZ | Primary |
Addresses
Primary practice location
2557 S Val Vista Dr
Gilbert, AZ 85295-6229
Mailing address
321 S Red Rock St
Gilbert, AZ 85296-1957
Phone (480) 813-6624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040423000790 | AZ | Practitioner - Emergency Medicine | 0345236394 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arizona College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 S Gilbert Rd
Mesa, AZ 85204-6808
Phone (888) 732-3317
Hospital & facility affiliations
- Dignity Health Arizona General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
| Quantum Healthcare Medical Associates of Arizona, PC | Emergency Medicine | Current | Accepting new patients |
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients | |
| Team Physicians of Arizona PC | Emergency Medicine | Past | Accepting new patients |
Locations
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
1910 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 410-6150
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
Organizations & group practices 4
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.
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AZ, Emergency Medicine
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- Pleasanton, CA
- NPI 1821391269
AZ, Emergency Medicine
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1710915764
Emergency Medicine
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1285708172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 S RED ROCK ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961957",
"telephone_number": "480-813-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2557 S VAL VISTA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852956229",
"telephone_number": "480-917-7546",
"fax_number": "623-234-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "WILLIAM",
"middle_name": "FOWLER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "AZ",
"license": "22294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.