Active NPIIndividual provider

Shannon D Fullerton, MD

Obstetrics & Gynecology in Weymouth, Massachusetts

NPI Number1821099110
Practice location
51 Performance Dr, Entry 2, Weymouth, MA 02189-3141
Fax
781-335-1412
Last updated
January 8, 2014

Shannon Dee Fullerton is an Obstetrics & Gynecology based in Weymouth, MA. Shannon Dee Fullerton practices in Weymouth, MA and has the professional credentials of MD. The NPI Number for Shannon Dee Fullerton is 1821099110 and holds a License No. 205500 (MA). The current practice location address for Shannon Dee Fullerton is 51 Performance Dr, Entry 2, Weymouth, MA 02189-3141 and can be reached out via phone at 781-682-8000 and via fax at 781-335-1412.

Provider Profile Details

NPI Number
1821099110
Provider Name
Shannon Dee Fullerton
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
51 Performance Dr, Entry 2, Weymouth, MA 02189-3141
Phone Number
781-682-8000
Fax Number
781-335-1412
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2005
Last Update Date
January 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Performance Dr
Entry 2
Weymouth, MA 02189-3141
Zip
02189-3141
Phone Number
781-682-8000
Fax Number
781-335-1412
Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
141 Longwater Dr
Norwell, MA 02061-1632
City
Norwell
State
MA
Zip
02061-1632
Phone Number
781-878-5200

License Information

License Number
205500
License State
MA
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shannon D Fullerton, MD?

The NPI number of Shannon D Fullerton, MD is 1821099110. It was assigned on August 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Shannon D Fullerton, MD?

Shannon D Fullerton, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in MA under license number 205500.

Where does Shannon D Fullerton, MD practice?

The practice location is 51 Performance Dr, Entry 2, Weymouth, MA 02189-3141. The office can be reached at 781-682-8000 (phone) or 781-335-1412 (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 1821099110 directly on the NPPES registry website.

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