NONA FULK, M.D., S.C.
NPI 1063745883
Obstetrics & Gynecology in Normal, IL
- Organization
- Obstetrics & Gynecology
- CLIA Number: 14D2019062
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-20-2027
About NONA FULK, M.D., S.C.
This page provides the complete NPI Profile along with additional information for Nona Fulk, M.d., S.c., a women's health care provider established in Normal, Illinois operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1063745883 assigned on September 2009. The practitioner's primary taxonomy code is 207V00000X with license number 36-096101 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Nona P Fulk M.d. (President)
- NPI
- 1063745883 Verify this NPI
- Provider Name
- NONA FULK, M.D., S.C.
- Entity Type
- Organization
- Location Address
- 1300 FRANKLIN AVE STE 330 NORMAL, IL 61761
- Location Phone
- (309) 808-0940
- Mailing Address
- 1300 FRANKLIN AVE STE 330 NORMAL, IL 61761
- Mailing Phone
- (309) 808-0940
- Mailing Fax
- (309) 808-0799
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2009
- Last Update Date
- 02-28-2024
- Code Navigator
Women's health care providers like Nona Fulk, M.d., S.c. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36-096101
- License State
- IL
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2019062
- Facility Type
- Physician Office
- Certificate Effective Date
- January 21, 2025
- Certificate Expiration Date
- January 20, 2027
- Laboratory Director
- NONA FULK MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Nona Fulk, M.d., S.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for NONA FULK, M.D., S.C.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063745883, enumerated as an "organization" on September 11, 2009.
The provider is located at 1300 FRANKLIN AVE STE 330 NORMAL, IL 61761 and the phone number is (309) 808-0940.
Obstetrics & Gynecology with taxonomy code 207V00000X.
