Active NPI
Gregory Kyle Fulton, M.D.
- Pediatrics Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 301258
- Practice address
- 200 Henry Clay Ave
New Orleans, LA 70118-5720 - Phone
- (504) 896-2143
- NPI assigned
- Mar 26, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 301258 | LA | Primary |
Addresses
Primary practice location
200 Henry Clay Ave
New Orleans, LA 70118-5720
Mailing address
200 Henry Clay Ave
New Orleans, LA 70118-5720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301258 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Med in New Orleans Faculty Grou | Pediatrics | Current | Accepting new patients |
| Childrens Hospital Medical Practice Corporation | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Lsuhsc New Orleans Physicians | Pediatrics | Past | Accepting new patients |
Locations
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
5625 Loyola Ave
New Orleans, LA 70115
Phone (504) 359-1131
1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011
4000 Cadillac St
New Orleans, LA 70122
Phone (504) 324-7600
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
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 and National Provider Directory roles.
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- Durable Medical Equipment & Medical Supplies
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- NPI 1447487145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1972845030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185720",
"telephone_number": "504-896-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "GREGORY",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "301258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.