Individual provider Active NPI

David Robin Fulcher, D.O.

  • Anesthesiology Physician
  • Durango, CO
National Provider Identifier
1730138728
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS7822 Issued in FL
Practice address
575 Rivergate
Animas Surgical Hospital
Durango, CO 81301-7487
Phone
(970) 375-6297
Fax
(970) 385-1876
NPI assigned
May 8, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS7822 FL Primary
Anesthesiology Physician 207L00000X J2013 TX
Anesthesiology Physician 207L00000X DR.0049896 CO
Pain Medicine (Anesthesiology) Physician 207LP2900X OS7822 FL

Addresses

Primary practice location

575 Rivergate
Animas Surgical Hospital
Durango, CO 81301-7487

Mailing address

PO Box 78
Durango, CO 81302-0078
Phone (970) 375-6297

Other identifiers 1

IdentifierTypeStateIssuer
06768OtherFLBLUE CROSS BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040330000379 FL Practitioner - Anesthesiology 8426940719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Anesthetist Services LLCGroup PAC ID 8325298458, 149 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

Practice addresses (Care Compare)

3801 E Hwy 98
Port Saint Joe, FL 32456-5318
Phone (850) 229-5600

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0049896COMDAnesthesiology Physician
J2013TXMDAnesthesiology Physician
OS7822FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Mar 1, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Mar 1, 2019 Accepting new patients
Ams Anesthetist Services LLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Middle Keys Anesthesia Associates PA Anesthesiology Past Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA Anesthesiology PastSince Jan 19, 2004 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1730138728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813020078",
            "telephone_number": "970-375-6297",
            "fax_number": "970-385-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE",
            "address_2": "ANIMAS SURGICAL HOSPITAL",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-375-6297",
            "fax_number": "970-385-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "DAVID",
        "middle_name": "ROBIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS7822",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J2013",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0049896",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS7822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "06768",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.