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

Timothy Fullerton

Individual provider Family Medicine Physician · NPI 1295964195

Timothy Fullerton is a Family Practice in Mercer, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2009, 17 years ago. Practices with Primary Health Network, a 64-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2009
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Practice location Address checks out

737 Greenville Rd
Mercer, PA 16137-5070
Phone: (724) 662-2650
Fax: (724) 662-1338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS016025 (PA)

Record details

NPI number1295964195
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2009
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address100 Shenango Ave, P.O. Box 716, Sharon, PA 16146-1503

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2009 (17 years in practice)
Group practice Primary Health Network — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mercer