MR. TIMOTHY V. FULLER CRNA
NPI 1225153836
Nurse Anesthetist, Certified Registered in Allegan, MI

Q: What is Timothy Fuller's NPI number?

The NPI number for Timothy Fuller is 1225153836. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Timothy Fuller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Fuller was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2007

555 LINN ST, ALLEGAN, MI 49010(269) 686-4143 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Mr. Timothy V. Fuller Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY V. FULLER CRNA (NPI 1225153836) is an individual nurse anesthetist, certified registered in Allegan, Michigan, licensed in Michigan (4704138811) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1225153836

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. TIMOTHY V. FULLERCredential: CRNA

Location Address555 LINN STAllegan, MI 49010-1524

Mailing Address1331 34th StAllegan, MI 49010-9384 · (269) 686-4143

Phone(269) 686-4143

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateNovember 30, 2012

✔ NPI 1225153836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704138811

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

555 LINN ST, Allegan, MI 49010

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Other Identifiers 3

Medicaid10-4315429MI

Medicare ID-Type UnspecifiedZ36149-002MI

Other43OZ36149Blue Cross

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA M KEREKES RD

Dietitian, Registered

555 LINN ST
ALLEGAN, MI 49010

Allegan County (269) 686-4251

PHILIP HARTGERINK MD

Radiology (Diagnostic Radiology)

555 LINN ST
ALLEGAN, MI 49010

Allegan County (616) 235-4800

ASCENSION BORGESS ALLEGAN HOSPITAL

Clinic/Center (Multi-Specialty)

555 LINN ST
ALLEGAN, MI 49010

Allegan County (269) 673-8424

ASCENSION BORGESS ALLEGAN HOSPITAL

Psychiatric Unit

555 LINN ST
ALLEGAN, MI 49010

Allegan County (269) 686-4051

JULIA ANN JENKINS REGISTERED DIETITIAN

Dietitian, Registered

555 LINN ST
ALLEGAN, MI 49010

Allegan County (269) 686-4253

ASCENSION BORGESS ALLEGAN HOSPITAL

General Acute Care Hospital (Critical Access)

555 LINN ST
ALLEGAN, MI 49010

Allegan County (269) 686-4051

DR. MATTHEW BALKE PHARMD

Pharmacist

555 LINN ST
ALLEGAN, MI 49010

Allegan County (269) 686-4120

KEVIN MAYNARD COOPER FNP-C

Nurse Practitioner (Family)

555 LINN ST
ALLEGAN, MI 49010

Allegan County (269) 686-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Fuller's NPI number?

The NPI number for Timothy Fuller is 1225153836. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Timothy Fuller located?

Timothy Fuller practices at 555 Linn St, Allegan, MI 49010. The listed phone number is (269) 686-4143.

What is Timothy Fuller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Timothy Fuller was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.