Dr. Mark Allen Fullmer, M.D.
Dr. Mark Allen Fullmer is a Surgery Physician provider (Surgery) practicing in Provo, UT, registered in the NPPES registry with NPI 1457420853 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1457420853 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark Allen Fullmer |
| Credential | M.D. |
| Sex | Male |
| Practice address | Provo, UT, 84604 |
| Phone | 8013577100 |
| Fax | 8013578100 |
| Enumeration date | 2006-11-07 |
| Last updated in NPPES | 2023-03-07 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 152450-1205 | UT |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Mark Fullmer, M.D. NPI: 1457420853 Taxonomy: 208600000X (Surgery Physician) Address: Provo, UT, 84604
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851397491 | Paul Olson | Individual | Specialist | Provo, UT |
| 1396741948 | Loran Cook | Individual | Specialist | Provo, UT |
| 1841296498 | Duane Nelson | Individual | Specialist | Provo, UT |
| 1578560165 | Frank Edmunds | Individual | Optometrist | Provo, UT |
| 1801893375 | Loran Cook | Individual | Specialist | Provo, UT |
| 1508863978 | Joe Haggard | Individual | Optometrist | Provo, UT |
| 1811995004 | Douglas Schow | Individual | Orthopaedic Surgery Physician | Provo, UT |
| 1730187600 | Robert Smilanich | Individual | Vascular Surgery Physician | Provo, UT |
Verify this record
Cross-check NPI 1457420853 against the authoritative CMS record: view Dr. Mark Allen Fullmer on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.