person
Dr. Jonathan Ellis Fuller, MD
Orthopedic Surgery of the Spine Physician in Omaha, Nebraska
NPI 1053314443

Jonathan Ellis Fuller is a Orthopedic Surgery of the Spine Physician based in Omaha, NE and is specialized in Orthopedic Surgery of the Spine. Jonathan Ellis Fuller practices in Omaha, NE and has the professional credentials of MD. The NPI Number for Jonathan Ellis Fuller is 1053314443 and holds a License No. 20813 (Nebraska).

The current practice location address for Jonathan Ellis Fuller is 13616 California St, Omaha, NE and can be reached out via phone at 402-496-0404 and via fax at 402-496-0517.

Location: 13616 California St, Omaha, NE, 68154-5335
person
Provider Profile Details
NPI Number
1053314443
Provider Name
Jonathan Ellis Fuller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13616 California St, Omaha, NE, 68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0511642 05 IA
47081304012 05 NE
07113 01 NE BCBS
200031840 01 NE RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
13616 California St
City
State
Zip
68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
person
Provider Business Mailing Address Details
Address
13616 California St
City
State
Zip
68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
License No.
20813 (Nebraska)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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