National Provider Identifier Database

TED FAULL, MD – NPI #1770560724
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

TED FAULL, MD
900 TRAILWOOD DR
BOARDMAN, OH44512-5007
Phone: 330-726-2575
Fax: 330-921-9319
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for TED FAULL

NPI Number 1770560724
Credentials MD
Entity Individual
Enumeration date 12/29/2005
Last updated 04/09/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 36082109
  • OH License #: 35.091967
  • OH Medicaid: 2890359
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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