Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Richards Fullmer, MD

Individual provider Diagnostic Radiology Physician · NPI 1114994738

Dr. Daniel Richards Fullmer, MD is a Diagnostic Radiology in Lynnwood, Washington. Graduated from University of Utah School of Medicine in 1996, 30 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
30
Trained at
University of Utah School of Medicine
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 — (952) 595-1100

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD00049079 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-12249 (ID)

Record details

NPI number1114994738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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