Organization Active NPI

David R Fulcher, D.O., LLC

  • Anesthesiology Physician
  • Durango, CO
National Provider Identifier
1942259916
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0049896 Issued in CO
Legal business name
DAVID R FULCHER, D.O., LLC
Practice address
575 Rivergate Lane
Animas Surgical Hospital Anesthesia Department
Durango, CO 80301
Phone
(970) 375-6297
Fax
(970) 385-1876
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
David Robin Fulcher, DO
Title
Managing Member
Phone
(970) 375-6297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X OS7822 FL
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X DR.0049896 CO Primary

Addresses

Primary practice location

575 Rivergate Lane
Animas Surgical Hospital Anesthesia Department
Durango, CO 80301

Mailing address

PO Box 78
Durango, CO 81302-0078
Phone (970) 247-0924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1942259916",
    "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": "970-247-0924",
            "fax_number": "970-385-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LANE",
            "address_2": "ANIMAS SURGICAL HOSPITAL ANESTHESIA DEPARTMENT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "80301",
            "telephone_number": "970-375-6297",
            "fax_number": "970-385-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R FULCHER, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "FULCHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "970-375-6297",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS7822",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0049896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.