Michael Fullmer, DO
Michael Fullmer is a Pediatrics Physician provider (Pediatrics) practicing in Payson, UT, registered in the NPPES registry with NPI 1780789099 since 2006. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780789099 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Michael Fullmer |
| Credential | DO |
| Sex | Male |
| Practice address | 15 S 1000 E, SUITE 200, Payson, UT, 84651 |
| Phone | 8014652800 |
| Enumeration date | 2006-09-13 |
| Last updated in NPPES | 2011-03-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | 7192373-1204 | UT |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497812721 | Medicaid | UT | — |
Copy-ready billing details
Provider: Michael Fullmer, DO NPI: 1780789099 Taxonomy: 208000000X (Pediatrics Physician) Address: 15 S 1000 E, SUITE 200, Payson, UT, 84651
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053535930 | Jonathan Peterson | Individual | Pediatrics Physician | Payson, UT |
| 1053500314 | Chad Farley | Individual | Neurological Surgery Physician | Payson, UT |
| 1306094438 | University of Utah Payson Regional Dialysis Center | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Payson, UT |
| 1447498266 | Utah County Medical Associates | Organization | Family Medicine Physician | Payson, UT |
| 1841433927 | Central Utah Clinic, P.C. | Organization | Urology Physician | Payson, UT |
| 1952729204 | Rock Creek Neurosurgery, LLC | Organization | Neurological Surgery Physician | Payson, UT |
| 1548835879 | Srs-Payson, LLC | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Payson, UT |
Verify this record
Cross-check NPI 1780789099 against the authoritative CMS record: view Michael 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 2011-03-08.