SHANNON DEE FULLERTON MD NPI 1821099110

NPI Information

NPI: 1821099110
Provider Name: SHANNON DEE FULLERTON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
51 PERFORMANCE DR
ENTRY 2
WEYMOUTH, MA
ZIP 02189
Phone: (781) 682-8000
Get Directions

Shannon Dee Fullerton, MD is an obstetrics gynecology in Weymouth, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Shannon Dee Fullerton, MD NPI is 1821099110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51 PERFORMANCE DR
ENTRY 2
WEYMOUTH, MA
ZIP 02189-141
Phone: (781) 682-8000
Fax: (781) 335-1412

The NPI 1821099110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 1/8/2014.

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	207V00000X	Obstetrics & Gynecology		205500	MASSACHUSETTS	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	042297845	OTHER		UNITED HEALTH CARE
2	042297845	OTHER		GIC/UNICARE
3	205500	OTHER		TUFTS/TMP
4	976196 08	OTHER		NETWORK HEALTH
5	H30238	MEDICARE UPIN	MASSACHUSETTS
6	1821099110	OTHER		NEIGHBORHOOD HEALTH PLAN
7	1821099110	MEDICAID	MASSACHUSETTS
8	042297845	OTHER		HCVM/FIRST HEALTH/COVENTRY
9	AA279482	OTHER		HARVARD PILGRIM
10	SS0128	OTHER		BCBSMA
11	1821099110	OTHER		FALLON
12	9034507	OTHER		CIGNA
13	042297845	OTHER		TRICARE
14	042297845	OTHER		MULTI-PLAN/PHCS
15	7151128	OTHER		AETNA
16	A3197501	MEDICARE PIN	MASSACHUSETTS

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: 4/28/2024

NPI Synchronization or Removal

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