Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417470147 Individual Practitioner Male Practitioner

Mark A Fuller

Taxi • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Mark Fuller is a registered healthcare professional specializing in Taxi in Peoria, IL. Practice services are available at 2215 W WILLOW KNOLLS DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2215 W Willow Knolls Drive
Apt 503a

Peoria, IL 616141446

Telephone 2173300928

Specialty Benchmarks & Practice Insights

Comparative analytics for Taxi in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Peoria, IL (8 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Taxi Primary Specialty

NUCC Taxonomy Code: 344600000X

A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
82-2237856 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 25, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2017

Registered at 2215 W WILLOW KNOLLS DRIVE, APT 503A, PEORIA, IL 616141446 (Tel: (217) 330-0928)

📍
Updated Business Mailing Address July 25, 2017

Registered at 2215 W WILLOW KNOLLS DR APT 503A, PEORIA, IL 616141446 (Tel: 2173300928)

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Provider Name / Credentials Updated July 25, 2017

Recorded as MARK FULLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Taxi

🟢
Initial NPI Registration & Enumeration July 25, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417470147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

2215 W Willow Knolls Dr Apt 503a

Peoria, IL 616141446

Phone: 2173300928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.