DR. DANIEL C FULMER DPM NPI 1184658114

NPI Information

NPI: 1184658114
Provider Name: DR. DANIEL C FULMER, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
2828 E MILLENNIUM PL
SUITE 2
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 582-1199
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DR. Daniel C Fulmer, DPM is a foot and ankle surgery podiatrist in Fayetteville, AR. DR. Daniel C Fulmer, DPM NPI is 1184658114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2828 E MILLENNIUM PL
SUITE 2
FAYETTEVILLE, AR
ZIP 72703-514
Phone: (479) 582-1199
Fax: (479) 582-1194

The NPI 1184658114 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/10/2006 and was last updated on 11/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	155	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	021200117	OTHER	ARKANSAS	QUALCHOICE
2	155	OTHER	ARKANSAS	BLUE CROSS
3	T11116	MEDICARE UPIN	ARKANSAS
4	5X002	OTHER	ARKANSAS	BLUE SHIELD
5	P00364361	MEDICARE PIN	ARKANSAS
6	5X002F602	MEDICARE PIN	ARKANSAS
7	148310717	MEDICAID	ARKANSAS
8	200021680A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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