Jonathan Ellis Fuller in Omaha - Orthopaedic Surgery Of The Spine
Jonathan Ellis Fuller - NPI 1053314443
Jonathan Ellis Fuller is a Orthopaedic Surgery Of The Spine in Omaha, Nebraska. Jonathan Ellis Fuller practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Jonathan Ellis Fuller is 1053314443. The last update date is 2009-01-28.
Jonathan Ellis Fuller's current location address is 13616 California St, Omaha, Nebraska. You can contact this provider via phone number 4024960404 and fax number 4024960517. The mailing address for Jonathan Ellis Fuller is 13616 California St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Ellis Fuller |
|---|---|
| Address | 13616 California St, Omaha, Nebraska |
| Phone Number | 4024960404 |
| Fax Number | 4024960517 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053314443 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2009-01-28 |
Provider Mailing Address Detail
| Address | 13616 California St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 6815453350 |
| Phone Number | 4024960404 |
| Fax Number | 4024960517 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 20813 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 511642 | IA | -- | |
| 47081304012 | NE | -- | |
| 7113 | NE | BCBS | |
| 200031840 | NE | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Jonathan Ellis Fuller by the Centers for Medicare & Medicaid Services?
The Jonathan Ellis Fuller has been issued the NPI (National Provider Identifier) 1053314443. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jonathan Ellis Fuller?
The Jonathan Ellis Fuller is situated at 13616 California St, in the city of Omaha, state of NE, with the zip code 6815453350.
What is Jonathan Ellis Fuller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan Ellis Fuller's area of specialization is Orthopaedic Surgery Of The Spine, and the corresponding taxonomy code that categorizes this field of practice is 207Xs0117X.
When was the Jonathan Ellis Fuller's 1053314443 issued?
The Jonathan Ellis Fuller's 1053314443 was issued on 2005-05-31.
As of what date were the details related to Jonathan Ellis Fuller most recently updated or revised?
The information pertaining to Jonathan Ellis Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2009-01-28.