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

Timothy Fuller

Individual provider Pain Medicine Physician · NPI 1770994550

Timothy Fuller is an Emergency Medicine in Salt Lake City, Utah. Graduated from Creighton University School of Medicine in 2014, 12 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
12
Trained at
Creighton University School of Medicine
Licensed in
UT
In the registry since
2014
Specialties on file
2

Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9529254-1205 (UT)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 9529254-1205 (UT)

Record details

NPI number1770994550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salt Lake City