Matthew Bernard Fulton, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0102201846 Issued in VA

Practice address

5115 Bernard Dr Ste 201
Roanoke, VA 24018-4367

Phone

(540) 345-0289

Fax

(540) 345-9569

NPI assigned

Jun 3, 2006

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 VA

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

Anesthesiology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Anesthesia PCGroup PAC ID 7416851597, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
• Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• Valley Anesthesia PC

  • Anesthesiology Physician
  • Salem, VA
  • NPI 1275587115
  Medicare reassignment Care Compare group NPD
• CTL of VA LLC

  • Physical Medicine & Rehabilitation Physician
  • Blacksburg, VA
  • NPI 1700503992
  Medicare reassignment NPD
• JRG of Virginia LLC

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1467117267
  Medicare reassignment NPD
• Acv Inc

  • Anesthesiology Physician
  • Roanoke, VA
  • NPI 1881927259
  NPD
• Anesthesiology Consultants of Virginia, Inc

  • Anesthesiology Physician
  • Roanoke, VA
  • NPI 1225016603
  NPD (past)

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

• Lewis-Gale Medical Center, LLC

  • General Acute Care Hospital
  • Salem, VA
  • NPI 1619914785
  Care Compare affiliation
• Montgomery Regional Hospital Inc

  • General Acute Care Hospital
  • Blacksburg, VA
  • NPI 1275570376
  Care Compare affiliation

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1609814441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13306",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240323306",
            "telephone_number": "540-345-0289",
            "fax_number": "540-345-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184367",
            "telephone_number": "540-345-0289",
            "fax_number": "540-345-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "540-776-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MATTHEW",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0102201846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Fuhrman
• Barbara Dawn Fulcher, MS,RN,CS,APRN,BC NP
• Natasha Renee Fuller, PHARMD
• Rual Fuller Jr., PHARMD
• Shannon E Fulp, M.D.
• Brigette Funk, LPC
• Martha Furman, LPC, LMFT
• Christin E Furrow, NP
• Kimberley Furrow, FNP
• Philip Wayne Furrow, PA-C

• Anesthesiology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.