Justin Timothy Fuller
Pediatrics | Male
Justin Timothy Fuller is a Martinsville, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Justin Timothy Fuller is
1949 Hospital Dr, Martinsville, Indiana - 46151-1861. He can be contacted on phone at
765-342-0539 and fax number 765-342-3413.
Justin Timothy Fuller is a sole proprietor of his business.
NPI number (Unique professional ID) for Justin Timothy Fuller is
1588955215 which was assigned by NPPES on 28 Apr, 2011 and it was last updated on 04 Dec, 2020.
Justin Timothy Fuller license number is
01072688A for Pediatrics (208000000X) in Indiana.
Justin Timothy Fuller is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Justin Timothy Fuller basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Justin Timothy Fuller |
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| Gender : | Male |
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Business Address:
Justin Timothy Fuller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1949 Hospital Dr
Martinsville, IN, 46151-1861
United States |
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| Phone Number : | 765-342-0539 |
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| Fax Number : | 765-342-3413 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588955215 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2011 |
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| Last Updated On : | 04 Dec, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin Timothy Fuller are as mentioned. Primary taxonomy code for Justin Timothy Fuller is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01072688A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Justin Timothy Fuller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 201098490 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jfuller1@direct.iuhealth.org
| No affiliation |
|
| 1949 HOSPITAL DR,
MARTINSVILLE, IN, 46151-1861
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1329
Bloomington, IN, 47402-1329
United States |
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| Phone Number : | 812-353-3087 |
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Business Location:
Patients can refer following map for directions to
Justin Timothy Fuller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.