Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Paul Fullenkamp, MD

Individual provider Emergency Medicine Physician · NPI 1053408864

Dr. Michael Paul Fullenkamp, MD is an Emergency Medicine in St. Louis, Missouri. Graduated from University of Nebraska College of Medicine in 2005, 21 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Trained at
University of Nebraska College of Medicine
Licensed in
MO
In the registry since
2006
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

1 Barnes Jewish Hospital Plz
St. Louis, MO 63110
Phone: (314) 294-0446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2005015807 (MO)

Record details

NPI number1053408864
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESSeptember 8, 2009
Mailing address379 N Taylor Ave Apt 1w, Saint Louis, MO 63108-1981

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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