Maureen Pendergast Fuller, PA-C
Physician Assistant in Greenfield, Massachusetts
1558306209- Practice location
- 101 Munson St # 215, Greenfield, MA 01301-9684
- Phone
- 413-475-3233
- Fax
- 413-475-3249
- Last updated
- September 10, 2026
Maureen Pendergast Fuller is a Physician Assistant based in Greenfield, MA. Maureen Pendergast Fuller practices in Greenfield, MA and has the professional credentials of PA-C. The NPI Number for Maureen Pendergast Fuller is 1558306209 and holds a License No. 1366 (MA). The current practice location address for Maureen Pendergast Fuller is 101 Munson St # 215, Greenfield, MA 01301-9684 and can be reached out via phone at 413-475-3233 and via fax at 413-475-3249.
Provider Profile Details
- NPI Number
- 1558306209
- Provider Name
- Maureen Pendergast Fuller
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Munson St # 215, Greenfield, MA 01301-9684
- Phone Number
- 413-475-3233
- Fax Number
- 413-475-3249
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 17, 2006
- Last Update Date
- September 10, 2026
- Certification Date
- September 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Munson St # 215
Greenfield, MA 01301-9684 - City
- Greenfield
- State
- Massachusetts
- Zip
- 01301-9684
- Phone Number
- 413-475-3233
- Fax Number
- 413-475-3249
Provider Business Mailing Address Details
- Address
- 101 Munson St # 215
Greenfield, MA 01301-9684 - City
- Greenfield
- State
- MA
- Zip
- 01301-9684
- Phone Number
- 413-475-3233
- Fax Number
- 413-475-3249
License Information
- License Number
- 1366
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maureen Pendergast Fuller, PA-C?
The NPI number of Maureen Pendergast Fuller, PA-C is 1558306209. It was assigned on June 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Maureen Pendergast Fuller, PA-C?
Maureen Pendergast Fuller, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1366.
Where does Maureen Pendergast Fuller, PA-C practice?
The practice location is 101 Munson St # 215, Greenfield, MA 01301-9684. The office can be reached at 413-475-3233 (phone) or 413-475-3249 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558306209 directly on the NPPES registry website.