MICHAEL W FULLER PA
NPI 1730256074
Physician Assistant in Dallas, TX

NPI Status: Active since November 30, 2006

Contact Information

7777 FOREST LN
MEDICAL CITY DALLAS
DALLAS, TX
ZIP 75230
Phone: (972) 566-7000

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  • Organization
  • Physician Assistant

About MICHAEL W FULLER PA

This page provides the complete NPI Profile along with additional information for Michael W Fuller Pa, a primary care provider established in Dallas, Texas operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1730256074 assigned on November 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA02147 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Michael W Fuller Pa. The authorized official of this NPI record is Michael W Fuller Pa (President)

NPI
1730256074
Provider Legal Name
PROASSIST
Other Organization Name
MICHAEL W FULLER PA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
7777 FOREST LN MEDICAL CITY DALLAS DALLAS, TX 75230
Location Phone
(972) 566-7000
Mailing Address
PO BOX 670039 DALLAS, TX 75367
Mailing Phone
(214) 378-9898
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2006
Last Update Date
08-22-2020
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A primary care provider (PCP) like Michael W Fuller Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA02147
License State
TX
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL W FULLER PA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(214) 378-9898

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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.
1730256074
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27604512014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 5 + 1 + 2 + 0 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1730256074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023012069 NIRMAL SAMUEL JAYASEELAN M.D.
Individual
Surgery7777 FOREST LN STE C670
DALLAS, TX 75230
(972) 566-2263
1437153491 KYOO H RHEE M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)7777 FOREST LN D569
DALLAS, TX 75230
(972) 566-8340
1821092446 SHARON R SANDELL MD
Individual
Pediatrics (Pediatric Critical Care Medicine)7777 FOREST LN D569
DALLAS, TX 75230
(972) 566-8340
1578567194 MICHELE C PAPO MD
Individual
Pediatrics (Pediatric Critical Care Medicine)7777 FOREST LN D569
DALLAS, TX 75230
(972) 566-8340
1184629347 LEE ANN PEARSE M.D.
Individual
Pediatrics (Pediatric Cardiology)7777 FOREST LN STE B141
DALLAS, TX 75230
(972) 566-5622
1134124852SOUTHWEST SURGICAL ONCOLOGY ASSOCIATES
Organization
Surgery (Surgical Oncology)7777 FOREST LN STE C585
DALLAS, TX 75230
(972) 566-4880
1760487300 JAMES R MATSON MD
Individual
Pediatrics (Pediatric Critical Care Medicine)7777 FOREST LN D569
DALLAS, TX 75230
(972) 566-8340
1740286152DR. WAYNE R KIRKHAM MD
Individual
Specialist7777 FOREST LN STE C506
DALLAS, TX 75230
(972) 566-7515
1023014214 EUGENIA HAMMETT RN, CNS
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)7777 FOREST LN STE C833
DALLAS, TX 75230
(972) 566-4591
1962401471DR. ELLIOT J GINCHANSKY M.D.
Individual
Allergy & Immunology7777 FOREST LN SUITE C530
DALLAS, TX 75230
(972) 566-7576
1619979507 JEAN MCCLINTOCK M.D., F.A.C.O.G.
Individual
Obstetrics & Gynecology7777 FOREST LN C-234
DALLAS, TX 75230
(972) 566-7711
1154323053 KRISTI RYDER M.D., F.A.C.O.G.
Individual
Obstetrics & Gynecology7777 FOREST LN C-234
DALLAS, TX 75230
(972) 566-7711
1104828821 BRUCE JOHN ROBERTS M.D., F.A.C.O.G.
Individual
Obstetrics & Gynecology7777 FOREST LN C-234
DALLAS, TX 75230
(972) 566-7711
1346233517 FATMA GUL M.D.
Individual
Physical Medicine & Rehabilitation7777 FOREST LN SUITE C-648
DALLAS, TX 75230
(972) 566-2500
1619960879 ANA FREED-SIGURDSSON M.D.
Individual
Physical Medicine & Rehabilitation7777 FOREST LN BLDG. C STE. A-94, PMB#120
DALLAS, TX 75230
(972) 741-4660
1952394652 KIM D VERNON M.D.
Individual
Obstetrics & Gynecology7777 FOREST LN BLDG D-570
DALLAS, TX 75230
(972) 566-4660
1285627984 ALISON M ELMQUIST MD
Individual
Obstetrics & Gynecology7777 FOREST LN BLDG D-570
DALLAS, TX 75230
(972) 566-4660
1396738092 KATHRYN K WALDREP MD
Individual
Obstetrics & Gynecology7777 FOREST LN BLDG D-570
DALLAS, TX 75230
(972) 566-4660
1437143930DR. JOSEPH J CARLOS M.D.,
Individual
Obstetrics & Gynecology7777 FOREST LN D-560
DALLAS, TX 75230
(972) 566-4862
1164417358DR. LAURENCE A WEIDER M.D.
Individual
Plastic Surgery (Surgery of the Hand)7777 FOREST LN SUITE B-145
DALLAS, TX 75230
(972) 566-8444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730256074, enumerated in the NPI registry as an "organization" on November 30, 2006

The provider is located at 7777 Forest Ln Medical City Dallas Dallas, Tx 75230 and the phone number is (972) 566-7000

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on November 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.