Organization Active NPI

William E. Fuller M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1891016408
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15707 Issued in CO
Legal business name
WILLIAM E. FULLER M.D., P.C.
Practice address
1601 E 19TH Ave Ste 5100
Denver, CO 80218-1254
Phone
(303) 320-1227
Fax
(303) 320-1235
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. William E Fuller, M.D.
Title
Owner/Pres
Phone
(303) 320-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 15707 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 5100
Denver, CO 80218-1254

Mailing address

1601 E 19TH Ave Ste 5100
Denver, CO 80218-1254
Phone (303) 320-1227

Other identifiers 2

IdentifierTypeStateIssuer
01157072MedicaidCO
95025545MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1891016408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 5100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181254",
            "telephone_number": "303-320-1227",
            "fax_number": "303-320-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 5100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181254",
            "telephone_number": "303-320-1227",
            "fax_number": "303-320-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. FULLER M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "303-320-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "15707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01157072",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95025545",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.