Doctor profile · Federal record
Dr. JUSTIN FULLER, MD
Pediatrics Physician · MARTINSVILLE, IN
- NPI 1588955215
- 15 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2209 JOHN R WOODEN DR
MARTINSVILLE, IN 461511840
(317) 944-2819 - Additional location
-
1949 Hospital Dr
Martinsville, IN 461511861
(765) 342-0539
fax (765) 342-3413 - Mailing address
-
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- April 10, 2025
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Indiana #01072688A
- Medicaid
- IN #201098490
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588955215. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$29
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, Inc. | 2 | $28.87 |