ROBERT EDWARD FUSSELMAN MD
NPI 1386624492
Radiology, Body Imaging in Fort Worth,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 17, 2006

Contact Information

817 W Cannon St
Fort Worth,
Post Code: 76104
Phone: (817) 321-0312
Fax: (817) 317-7033

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Robert Edward Fusselman Md in Fort Worth - Radiology, Body Imaging

Robert Edward Fusselman Md is a Radiology, Body Imaging in Fort Worth, . Robert Edward Fusselman Md practices all healthcare services and medical treatments related to Radiology, Body Imaging. The NPI Number for Robert Edward Fusselman Md is 1386624492. The last update date is 2012-08-14.

Robert Edward Fusselman Md's current location address is 817 W Cannon St, Fort Worth, . You can contact this provider via phone number (817) 321-0312 and fax number (817) 317-7033. The mailing address for Robert Edward Fusselman Md is 817 W Cannon St, Fort Worth, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1386624492
Provider Name
ROBERT EDWARD FUSSELMAN MD
Gender
Male
Entity Type
Individual
Location Address
817 W Cannon St, Fort Worth,
Location Phone
(817) 321-0312
Location Fax
(817) 317-7033
Mailing Address
815 Pennsylvania Ave, Fort Worth, Texas(TX)
Mailing Phone
817-321-0312
Mailing Fax
817-317-7033
Enumeration Date
2006-01-17
Last Update Date
2012-08-14
Code Navigator

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

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
G5071
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2085B0100X Body Imaging Physician

Radiology, Body Imaging

G5071 (Texas)
2 2085N0700X Neuroradiology Physician

Radiology, Neuroradiology

G5071 (Texas)
3 2085N0904X Nuclear Radiology Physician

Radiology, Nuclear Radiology

G5071 (Texas)
4 2085P0229X Pediatric Radiology Physician

Radiology, Pediatric Radiology

G5071 (Texas)
5 2085R0204X Vascular & Interventional Radiology Physician

Radiology, Vascular & Interventional Radiology

G5071 (Texas)
6 2085U0001X Diagnostic Ultrasound Physician

Radiology, Diagnostic Ultrasound

G5071 (Texas)

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
138105509 MEDICAID (05) Texas (TX)
G5071 Other (non-Medicare) (01) Texas (TX) TX Physicians Permit

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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.
1386624492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231661228418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 231661228418
2 + 3 + 1 + 6 + 6 + 1 + 2 + 2 + 8 + 4 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1386624492 is valid because the calculated check digit 2 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
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1205839230 MERCY EMS, LLC
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Organization
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972-788-9401
1164425195 MARIE DENISE JARBATH
Individual
Physician Assistant 17448 HIGHWAY 3
WEBSTER, Texas (TX)
281-338-4443
1275536229 MEDFUND LLC
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Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1326041377 CHARLES LAWSON HEATON
Individual
Ophthalmology 3415 GOLDEN RD
TYLER, Texas (TX)
903-526-0444