Dr. Jonathan Ellis Fuller

M.D. | Orthopaedic Surgery of the Spine | 35+ years Exp


  
13616 California St, Ste 100, Omaha
Nebraska, 68154-5335

 402-496-0404     402-496-0517Maps & Directions
Dr. Jonathan Ellis Fuller is a Omaha, Nebraska based male orthopedic surgeon with 35 years of experience in Orthopaedic Surgery of the Spine. He completed his graduation from Columbia University College Of Physicians And Surgeons in 1987. He is also affiliated with hospitals like Nebraska Spine Hospital, Llc and Mary Lanning Healthcare. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jonathan Ellis Fuller is 20813 for Orthopaedic Surgery of the Spine in Nebraska.
Dr. Jonathan Ellis Fuller deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Dr. Jonathan Ellis Fuller speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Orthopaedic Surgery of the Spine
Credentials: M.D.
Experience: 35+ years
Medical School Attended:Columbia University College Of Physicians And Surgeons
Graduation Year:1987
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:13616 California St, Ste 100, Omaha,
Nebraska, 68154-5335
Phone:402-496-0404
Fax:402-496-0517

Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3678473451
Enrollment ID: I20050817000403
NPI Number: 1053314443
NPI Enumeration Date: 31 May, 2005
NPI Last Update On: 28 Jan, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan Ellis Fuller are as mentioned below.
License NumberSpecializationStateStatus
20813Orthopaedic Surgery of the Spine NebraskaPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Nebraska Spine Hospital, Llc (280133)Omaha, NEAcute Care Hospital
Mary Lanning Healthcare (280032)Hastings, NEAcute Care Hospital
Chi Health Immanuel (280081)Omaha, NEAcute Care Hospital
Great Plains Health(280065)North platte, NEAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jonathan Ellis Fuller is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Nebraska Spine Center Llp (9830080613)28
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jonathan Ellis Fuller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0511642MedicaidIowa
07113OtherNebraskaBCBS
200031840OtherNebraskaRAILROAD MEDICARE
47081304012MedicaidNebraska
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 13616 California St, Ste 100
Omaha, Nebraska
Zip: 68154-5335
Phone Number: 402-496-0404
Fax Number: 402-496-0517
Patients can reach Dr. Jonathan Ellis Fuller at 13616 California St, Ste 100, Omaha, Nebraska or can call to book an appointment on 402-496-0404. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 May, 2022.

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