| Nathaniel Fuller, MD | |
|
11110 Medical Campus Rd, Suite 200, Hagerstown, MD 21742-6700 | |
| (301) 714-4300 | |
| (301) 714-4324 |
| Full Name | Nathaniel Fuller |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 11110 Medical Campus Rd, Hagerstown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215989272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D0052764 (Maryland) | Primary |
| Entity Name | Anesthesia Management Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467880500 PECOS PAC ID: 8729217955 Enrollment ID: O20140210000652 |
| Entity Name | Cumberland Anesthesia Ams LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033531785 PECOS PAC ID: 4981825056 Enrollment ID: O20141015001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Fuller, MD 11110 Medical Campus Rd, Suite 200, Hagerstown, MD 21742-6700 Ph: (301) 714-4300 | Nathaniel Fuller, MD 11110 Medical Campus Rd, Suite 200, Hagerstown, MD 21742-6700 Ph: (301) 714-4300 |
Jill Shank, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 251 E Antietam St, Hagerstown, MD 21740 Phone: 301-790-8501 |
Raj Narendra Parekh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1150 Professional Ct Ste P, Hagerstown, MD 21740 Phone: 301-665-9696 Fax: 240-420-5715 |
Jerzy H Cios, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-665-1717 Fax: 301-665-1810 |
Frederic Stephen D'alauro, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-665-1717 Fax: 301-665-1810 |
Dr. Ijeoma G Ifeanyi-nwanze, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd Ste 225, Hagerstown, MD 21742 Phone: 301-665-4720 |
Jeffrey Thomas Haugh, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1110 Medical Campus Rd, Suite 228, Hagerstown, MD 21712 Phone: 301-733-0022 |
John Edward Olenczak, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120a Professional Court, Hagerstown, MD 21740 Phone: 301-739-7900 Fax: 301-739-7112 |