Clayton G. Fuller MD, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CLAYTON G. FULLER MD, PC

Practice address

1299 Bertha Howe Ave
Mesquite, NV 89027-7500

Phone

(702) 345-4270

NPI assigned

May 20, 2006

Last updated

Aug 22, 2020By 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. Clayton G Fuller, MD

Title

President

Phone

(435) 986-8154

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992759054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 CASCADE CANYON DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706263",
            "telephone_number": "435-986-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BERTHA HOWE AVE",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277500",
            "telephone_number": "702-345-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON G. FULLER MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-986-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jyl Christensen
• Jennifer Cisler
• City of Mesquite
• Angela Dee Clark
• Henry Larry Clark
• Brian Copeland
• Cosmopolitan Dental
• Cottonwood Clinical Services, LLC
• Sherie Lynn Coules
• Sean Neil Covey, C.R.N.A.

• Emergency Medicine Physician in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Emergency Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.