Individual provider · Type 1 NPI

Jeremy Scott Fullingim, DO

Diagnostic Radiology Physician · Tulsa, OK

NPI number 1255537304 Active

Practice location

4500 S Garnett Rd
Tulsa, OK 74146-5229

Mailing address

16155 N 68th West Ave
Skiatook, OK 74070-4313

Other practice locations

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 · (952) 595-1100
  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3202 · (760) 340-3911

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4186 (OK)
Diagnostic Radiology Physician 2085R0202XOS23851 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

47 other providers at this address

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About NPI 1255537304

Jeremy Scott Fullingim, DO's National Provider Identifier is 1255537304, issued on Jun 25, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Tulsa, OK. The record was last updated on Nov 2, 2026.