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DR. WAYNE TEMPLETON FULLER M.D. NPI 1508867672


NPI Information

NPI: 1508867672
Provider Name: DR. WAYNE TEMPLETON FULLER, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
628 THALIA POINT RD
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 672-8367
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DR. Wayne Templeton Fuller, M.D. is a family medicine in Virginia Beach, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Wayne Templeton Fuller, M.D. NPI is 1508867672. 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:

628 THALIA POINT RD
VIRGINIA BEACH, VA
ZIP 23452-816
Phone: (757) 672-8367

The enumeration date for this NPI number is 8/10/2005 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine31285NORTH CAROLINANo
2207Q00000XFamily Medicine38697WISCONSINNo
3207Q00000XFamily Medicine19181SOUTH CAROLINANo
4207Q00000XFamily Medicine339571-1205UTAHNo
5207Q00000XFamily MedicineG084432CALIFORNIANo
6207Q00000XFamily Medicine26099ARIZONANo
7207Q00000XFamily Medicine00035725WASHINGTONNo
8207Q00000XFamily Medicine37054COLORADONo
9207Q00000XFamily Medicine99-44NEW MEXICONo
10207Q00000XFamily Medicine6222AWYOMINGNo
11207Q00000XFamily Medicine42646MINNESOTANo
12207Q00000XFamily MedicineD56565MARYLANDNo
13207Q00000XFamily MedicineM-8300IDAHONo
14207Q00000XFamily Medicine0101034109VIRGINIAYes
15207Q00000XFamily MedicineVERMONTNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C83926MEDICARE UPIN
211104815OTHERCAQH PROVIDER ID

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.