Active NPI
Regan S. Fulton, MD
- Immunopathology Physician
- Seattle, WA
National Provider Identifier
1730267337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Immunopathology Physician
- License
- A65436
- Practice address
- 551 N 34TH St Ste 100
Seattle, WA 98103-8675 - Phone
- (206) 374-9000
- Fax
- (206) 774-3412
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Immunopathology Physician | 207ZI0100X | A65436 | CA | Primary |
Addresses
Primary practice location
551 N 34TH St Ste 100
Seattle, WA 98103-8675
Mailing address
551 N 34TH St Ste 100
Seattle, WA 98103-8675
Phone (206) 374-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A654360 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65436 | CA | MD | Immunopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1730267337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 N 34TH ST STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038675",
"telephone_number": "206-374-9000",
"fax_number": "206-774-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 N 34TH ST STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038675",
"telephone_number": "206-374-9000",
"fax_number": "206-774-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "REGAN",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "CA",
"license": "A65436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A654360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.