Doctor profile · Federal record
Dr. Connor Fullerton, MD
Student in an Organized Health Care Education/Training Program · Gainesville, FL
- NPI 1114667698
- 4 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1600 Sw Archer RD
Gainesville, FL 326103003
(352) 265-0076 - Mailing address
-
2501 S Roosevelt Cir
Sioux Falls, SD 571063231
Credentials & registration
- NPI registered
- March 2022 — 4 yrs on file
- Profile last updated
- June 1, 2023
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114667698. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$140
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $140.01 |
By nature of payment
Frequently asked questions
What is Dr. Connor Fullerton's medical specialty?
Dr. Connor Fullerton practices Student in an Organized Health Care Education/Training Program in Gainesville, FL.
Where does Dr. Connor Fullerton practice?
Dr. Connor Fullerton practices at 1600 Sw Archer RD, Gainesville, FL 326103003. Office phone: 3522650076.
What is Dr. Connor Fullerton's NPI?
Dr. Connor Fullerton's National Provider Identifier (NPI) is 1114667698, issued by NPPES.