JOSHUA D. FULLER M.D. – NPI #1063723708
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

JOSHUA FULLER is a physician located in PROVO, UT. NPPES has assigned the NPI number 1063723708 to JOSHUA FULLER on June 28, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Jul 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOSHUA FULLER below.

NPI Profile for
JOSHUA D. FULLER

NPI Number
1063723708
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOSHUA D. FULLER
Credentials
M.D.
Primary location
1675 N FREEDOM BLVD STE 3
PROVO, UT 84604-6927
Phone: (801) 377-8000 Fax:
Mailing address
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone: (706) 721-9442 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)		 UT 8606156-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.