William Alexander Fulton, M.D.

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

24533 Issued in AZ

Practice address

10188 E Cochise Dr
Scottsdale, AZ 85258-4843

Phone

(480) 657-0564

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Honorhealth Ambulatory

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  NPD
• Scottsdale Pathology Associates LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Scottsdale, AZ
  • NPI 1093783698
  NPD

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295946770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10188 E COCHISE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584843",
            "telephone_number": "480-657-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10188 E COCHISE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584843",
            "telephone_number": "480-657-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "AZ",
            "license": "24533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Life Medical
• Austin Joseph Perry Fullenkamp, MD
• Elisa J. Fuller, M.D.
• Christopher John Fullmer, PA-C
• Lalita Devonne Fulson
• Fultz Therapy
• Elle Kathryn-Forbes Fultz
• Functional Restoration, PLLC
• Functional Wellness Center LLC
• Maria L Funicello, DC

• Psychosomatic Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychosomatic Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.