Individual provider Active NPI

Stephanie Carol Fulton, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1306982061
Registry record updated Aug 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F9455 Issued in TX
Practice address
1740 W 27TH St
301
Houston, TX 77008-1440
Phone
(713) 880-2727
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F9455 TX Primary

Addresses

Primary practice location

1740 W 27TH St
301
Houston, TX 77008-1440

Mailing address

1740 W 27TH St
301
Houston, TX 77008-1440
Phone (713) 880-2727

Other identifiers 2

IdentifierTypeStateIssuer
10015566OtherTXAMERIGROUP
00A09POtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20111221000341 TX Practitioner - Obstetrics/Gynecology 8325214307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1740 W 27TH St
Suite 301
Houston, TX 77008-1437
Phone (713) 880-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie C Fulton, MD PA Obstetrics & Gynecology CurrentSince Sep 11, 2011 Accepting new patients

Locations

1740 W 27th St
Ste 301
Houston, TX 77008
Phone (713) 880-2727

Interoperability endpoints

  • Direct secure messaging: sfulton20016@memorialhermann.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187395200000",
    "number": "1306982061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-880-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-880-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "STEPHANIE",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F9455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10015566",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00A09P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.