ELIZABETH A FULLER MD
NPI 1669433645
Family Medicine in Spencer, MA

Active since March 30, 2006
407 MAIN ST, SPENCER, MA 01562(508) 885-9737(508) 885-6139 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2017, Dec 29, 2016 (2 updates tracked since 2016).

About Elizabeth A Fuller Md NPPES

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

ELIZABETH A FULLER MD (NPI 1669433645) is an individual family medicine provider in Spencer, Massachusetts, licensed in Massachusetts (75454) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1669433645
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH A FULLERCredential: MD
Location Address407 MAIN STSpencer, MA 01562-1909
Mailing Address630 Plantation StWorcester, MA 01605 · (508) 885-9737 · Fax (508) 885-6139
Fax(508) 885-6139
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateAugust 17, 20172 updates tracked since enumeration
NPI 1669433645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 75454
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
407 MAIN ST, Spencer, MA 01562

Other Identifiers 14

Other4545003Aetna Us Healthcare
Medicare UPINF35781
Other9143201Cigna Health Plan
Medicare ID-Type UnspecifiedJ12908Medicare B
Other1669433645MA · Blue Cross Blue Shield Of Ma
OtherAA1214Harvard Pilgrim Healthcar
Medicaid3104796MA
OtherJ12908Blue Shield Indemnity
Other042472266One Health Plan
Other042472266Private Healthcare System
Other1150053First Health
Other9900893Fallon Community Health P
Medicare ID-Type UnspecifiedJ12908MA
Other1669433645MA · Tufts Health Plan

Other Providers at the Same Location NPPES 2

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

Physician Assistant
407 MAIN ST
SPENCER, MA 01562
Internal Medicine
407 MAIN ST
SPENCER, MA 01562

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 Elizabeth Fuller's NPI number?

The NPI number for Elizabeth Fuller is 1669433645. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Elizabeth Fuller located?

Elizabeth Fuller practices at 407 Main St, Spencer, MA 01562. The listed phone number is (508) 885-9737.

What is Elizabeth Fuller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Fuller was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.