Ronald Fulkerson MD PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18417 Issued in KY

Legal business name

RONALD FULKERSON MD PSC

Practice address

1300 W Lexington Ave
Winchester, KY 40391

Phone

(859) 744-8003

Fax

(859) 744-2286

NPI assigned

May 16, 2008

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald L Fulkerson, MD PSCNPI 1407991011

Title

Ceo President

Phone

(859) 744-8003

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald L Fulkerson, MD PSC

  • Pediatrics Physician
  • Winchester, KY
  • NPI 1407991011
  Authorized official Same address or phone

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1982861019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "40391",
            "telephone_number": "859-744-8003",
            "fax_number": "859-744-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "40391",
            "telephone_number": "859-744-8003",
            "fax_number": "859-744-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD FULKERSON MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "859-744-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PSC"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "18417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65914350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Sims Rodgers, SLP
• Anita Gayle Rogers, M.D.
• Katelynn Michelle Rogers
• Shelly M Rogers, MD
• Sydney Rogers
• Roumanos Rehabilitation, PA
• Amber D Rudd, APRN
• Diane Dabit Sackleh, ARPN
• Anna Marie Salyer
• Samantha Mills, LCSW, LLC

• Pediatrics Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.