JONATHAN ELLIS FULLER M.D.
NPI 1053314443
Orthopaedic Surgery, Orthopaedic Surgery Of The Spine in Omaha,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 31, 2005

Contact Information

13616 California St
Omaha,
Post Code: 68154
Phone: (402) 496-0404
Fax: (402) 496-0517

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Jonathan Ellis Fuller M.d. in Omaha - Orthopaedic Surgery, Orthopaedic Surgery of the Spine

Jonathan Ellis Fuller M.d. is a Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Omaha, . Jonathan Ellis Fuller M.d. practices all healthcare services and medical treatments related to Orthopaedic Surgery, Orthopaedic Surgery of the Spine. The NPI Number for Jonathan Ellis Fuller M.d. is 1053314443. The last update date is 2009-01-28.

Jonathan Ellis Fuller M.d.'s current location address is 13616 California St, Omaha, . You can contact this provider via phone number (402) 496-0404 and fax number (402) 496-0517. The mailing address for Jonathan Ellis Fuller M.d. is 13616 California St, Omaha, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1053314443
Provider Name
JONATHAN ELLIS FULLER M.D.
Gender
Male
Entity Type
Individual
Location Address
13616 California St, Omaha,
Location Phone
(402) 496-0404
Location Fax
(402) 496-0517
Mailing Address
13616 California St, Omaha, Nebraska(NE)
Mailing Phone
402-496-0404
Mailing Fax
402-496-0517
Enumeration Date
2005-05-31
Last Update Date
2009-01-28
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery, Orthopaedic Surgery of the Spine

Taxonomy Code
207XS0117X
Type
-
License No.
20813
License State
Nebraska (NE)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0511642 MEDICAID (05) Iowa (IA)
07113 Other (non-Medicare) (01) Nebraska (NE) BCBS
200031840 Other (non-Medicare) (01) Nebraska (NE) Railroad Medicare
47081304012 MEDICAID (05) Nebraska (NE)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053314443
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010361848
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2010361848
2 + 0 + 1 + 0 + 3 + 6 + 1 + 8 + 4 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1053314443 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910280 PATRICK B LEU
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1023011152 HARVEY A KONIGSBERG
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1023011897 CHRISTOPHER C SEIP
Individual
Surgery 820 N ALPHA ST
GRAND ISLAND, Nebraska (NE)
308-384-7200
1003819699 RICHARD FRENCH
Individual
Internal Medicine 2115 N KANSAS AVE
HASTINGS, Nebraska (NE)
402-463-2454
1003818295 CAMILLA RUTH PARSON
Individual
Ophthalmology 16820 FRANCES ST
OMAHA, Nebraska (NE)
402-933-6600