Dr. Timothy Richard Fullam, MD
Dr. Timothy Richard Fullam, MD is a Neurology in Phoenix, Arizona. Graduated from Pennsylvania State University College of Medicine in 2014, 12 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Nebraska and Texas.
- Years since qualifying
- 12
- Trained at
- Pennsylvania State University College of Medicine
- Licensed in
- AZ, NE, TX
- In the registry since
- 2014
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
240 W Thomas Rd # 400Phoenix, AZ 85013-4407
Phone: (602) 406-6262
Fax: (602) 406-6261
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 301 Fisher Street, Keesler Afb, MS 39564 — (228) 376-5378
- 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 — (210) 916-2203
Specialties & licences
| Neuromuscular Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084N0008X · Licence 73815 (AZ) |
|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084N0008X · Licence T1068 (TX) |
| Neurology Physician | Taxonomy 2084N0400X · Licence T1068 (TX) |
| General Practice Physician | Taxonomy 208D00000X · Licence 28833 (NE) |
Record details
| NPI number | 1952720104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 15, 2014 |
| Last updated in NPPES | February 5, 2025 |
| Certification date | February 5, 2025 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Medical school | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Sjhmc Physician Services — 665 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Phoenix
-
Mrs. Caroline M Badeer, MD
4212 N 16th St, Phoenix, AZ 85016-5319 · (602) 263-1200
-
Dr. Christina Chrisman, MD
755 E McDowell Rd, Phoenix, AZ 85006-2506 · (602) 521-3300