MEDICARE: DR. DANIEL G FULLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35041455F	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56958	OTHER	OH	UNITED HEALTHCARE
2	OC02324	OTHER	OH	NATIONWIDE HEALTH PLANS
3	000000127387	OTHER	OH	ANTHEM
4	1764868001	OTHER	OH	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	341106740031	OTHER	OH	CARESOURCE
7	R41455	OTHER	OH	SUMMA CARE
8	50453	OTHER	OH	QUAL CHOICE
9	4044677	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1134126568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL G FULLER MD

Provider Business Mailing Address
First Line	:	26250 EUCLID AVE STE 611
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-3693
Country	:	US
Telephone Number	:	216-261-2606
Fax Number	:	216-261-9814

Provider Business Practice Location Address
First Line	:	26250 EUCLID AVE
Second Line	:	SUITE 611
City	:	EUCLID
State	:	OH
Zip	:	44132-3305
Country	:	US
Telephone Number	:	216-261-2606
Fax Number	:	216-261-9814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	03/18/2009

Similar Medicare Providers

1447047006 — OTTAVO HEALTH OH, LLC
Practice Location Address:

26250 EUCLID AVE STE 912
EUCLID, OH
44132-3305

Practice Phone: 216-373-2090
Practice Fax:

1912865825 — CIRCLE OF SERENITY MENTAL HEALTH & RECOVERY, LLC
Practice Location Address:

26250 EUCLID AVE
EUCLID, OH
44132-3305

Practice Phone: 216-245-2823
Practice Fax:

1295724847 — DAVID J. FISHMAN, M.D., INC.
Practice Location Address:

26250 EUCLID AVE , SUITE 711
EUCLID, OH
44132-3305

Practice Phone: 216-289-8149
Practice Fax: 216-289-3305

1891773669 — MUHAMMAD JOKHIO MD
Practice Location Address:

26250 EUCLID AVE , 415
EUCLID, OH
44132-3305

Practice Phone: 216-732-9480
Practice Fax: 216-732-9483

1124077540 — DR. SHAILAJA SUNDARESH M.D.
Practice Location Address:

26250 EUCLID AVE , SUITE 203
EUCLID, OH
44132-3305

Practice Phone: 216-261-2333
Practice Fax: 216-289-0748

1245280783 — DR. CHARLES M BAILIN M.D.
Practice Location Address:

26250 EUCLID AVE , SUITE 203
EUCLID, OH
44132-3305

Practice Phone: 216-261-2333
Practice Fax: 216-289-0748

Directions to “ DR. DANIEL G FULLER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.