| Dr Jonathan Ellis Fuller, MD | |
|
13616 California St, Ste 100, Omaha, NE 68154-5335 | |
| (402) 496-0404 | |
| (402) 496-0517 |
| Full Name | Dr Jonathan Ellis Fuller |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 13616 California St, Omaha, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053314443 | NPI | - | NPPES |
| 0511642 | Medicaid | IA | |
| 47081304012 | Medicaid | NE | |
| 07113 | Other | NE | BCBS |
| 200031840 | Other | NE | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 20813 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Ellis Fuller, MD 13616 California St, Ste 100, Omaha, NE 68154-5335 Ph: (402) 496-0404 | Dr Jonathan Ellis Fuller, MD 13616 California St, Ste 100, Omaha, NE 68154-5335 Ph: (402) 496-0404 |
Dr. Adam Schell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13616 California St Ste 100, Omaha, NE 68154 Phone: 402-496-0404 Fax: 402-496-7766 | |
Robert M Cochran, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11819 Miracle Hills Dr Ste 203, Suite 203, Omaha, NE 68154 Phone: 402-492-9922 Fax: 402-492-9944 | |
Mark E Dietrich, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 981080 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-8000 Fax: 402-559-5511 | |
Jace Joseph Heiden, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2725 S 144th St Ste 212, Omaha, NE 68144 Phone: 402-609-3000 Fax: 402-609-3808 | |
Dr. William S Singer, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2725 South 144th Street, Suite 212, Omaha, NE 68144 Phone: 402-637-0800 Fax: 402-637-0852 | |
Samuel P Phillips, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8005 Farnam Dr Ste 305, Omaha, NE 68114 Phone: 402-390-4111 Fax: 402-390-4115 | |
Richard Michael Gross, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7710 Mercy Rd, Suite 224, Omaha, NE 68124 Phone: 402-399-8550 Fax: 402-399-8455 |