Daphne D Fullerton, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L8244 Issued in TX

Practice address

803 W Lampasas St
Ennis, TX 75119-4535

Phone

(800) 893-9698

NPI assigned

Mar 9, 2007

Sex

Female

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 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

Merit-based Incentive Payment System (MIPS)

Final score

99.43 of 100Reported as group

Quality

93.73

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711

  Emergency Medicine, TX

  Medicare reassignment NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708

  Emergency Medicine, TX

  Medicare reassignment NPD
• Ellis Emergency Group PA

  • Emergency Medicine Physician
  • Ennis, TX
  • NPI 1497715239

  Emergency Medicine

  NPD (past)
• Limestone Emergency PA

  • Emergency Medicine Physician
  • Mexia, TX
  • NPI 1588772420

  Emergency Medicine

  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Corsicana, TX
  • NPI 1124065735
  NPD (past)
• Texas Emergency Rooms Services, PA

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1669410619

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609908490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194535",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLERTON",
        "first_name": "DAPHNE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L8244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merle Ann Filecia, FNP-C
• Clayton Arthur Fisher, D.D.S.
• Susan Deann Florencio, APRN FNP-C
• Joey R. Flores, FNPC
• Roger A Frost, CRNA
• Daniel Frederick Gabriel, D.C.
• Darla D Gardner, MS, CCC-SLP
• General and Vascular Surgery of Ennis PA
• George Kingsley, D.O., Inc.
• Gina Merin George, PA-C

• All providers in Ennis, TX
• Emergency Medicine Physician in Texas

• 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.
• 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.