DANIEL W FULLER ATC. LAT.
NPI 1750586509
Specialist in Tyler, TX

NPI Status: Active since June 20, 2007

Contact Information

3414 GOLDEN RD
TYLER, TX
ZIP 75701
Phone: (903) 939-7500
Fax: (903) 597-1245

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  • Individual
  • Male
  • Specialist

About DANIEL FULLER

This page provides the complete NPI Profile along with additional information for Daniel Fuller, a provider established in Tyler, Texas with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1750586509 assigned on June 2007. The practitioner's primary taxonomy code is 174400000X with license number AT1427 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1750586509
Provider Name
DANIEL W FULLER ATC. LAT.
Gender
Male
Entity Type
Individual
Location Address
3414 GOLDEN RD TYLER, TX 75701
Location Phone
(903) 939-7500
Location Fax
(903) 597-1245
Mailing Address
447 REDBUD CIR WHITEHOUSE, TX 75791
Mailing Phone
(903) 871-2634
Is Sole Proprietor?
Yes
Enumeration Date
06-20-2007
Last Update Date
07-08-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
AT1427
License State
TX
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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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.
1750586509
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001081250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 2 + 5 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1750586509 is valid because the calculated check digit 9 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
1922059286MR. JAMES DANIEL WOODRUFF PTA
Individual
Physical Therapy Assistant3414 GOLDEN RD
TYLER, TX 75701
(903) 597-0837
1407052103 JOEL E. GANGROSS LAT
Individual
Specialist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1992991947MR. JESSE P AMBURN LAT,ATC
Individual
Specialist/Technologist (Athletic Trainer)3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1588836373DR. MOONA ZIA KHAN M.D
Individual
Family Medicine3414 GOLDEN RD
TYLER, TX 75701
(903) 590-3050
1508155714 CHRISTINE TAMARA KNIGHT PT
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1386914638 JORDAN NICOLE SPARKS COTA
Individual
Occupational Therapy Assistant3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1760881932DR. DENNIS DALE CHOATE II DPT
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7550
1639129273MRS. CAROL RENEE HINOJOSA OTR
Individual
Occupational Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 597-0837
1891783122MR. JOHN FRANKLIN PRIDDY MD
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1710975032MR. JOHN FLETCHER WALKER MD
Individual
Orthopaedic Surgery3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1639167703MR. ROBERT DANIEL WALKER PA
Individual
Physician Assistant (Surgical)3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1144329095 SABBIE LINDA BRASHER FNP-C
Individual
Internal Medicine3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1134326101MR. CHAD JOSEPH MCNEIL MD
Individual
Physical Medicine & Rehabilitation3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1285099515 DREW C WOOCK OT
Individual
Occupational Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7599
1124488622 MICHAEL PARCON PT
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7599
1346794849 JENNIFER TURNER
Individual
Nurse Practitioner3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1114466638 KRISTOPHER NEELY
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1770144701OLSV3 PLLC
Organization
Orthopaedic Surgery3414 GOLDEN RD
TYLER, TX 75701
(713) 799-2300
1336337674 COREY STARKS MOTR
Individual
Occupational Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7599
1467448159MR. ROBERT WAYNE DENNIS MD
Individual
Orthopaedic Surgery (Sports Medicine)3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750586509, enumerated in the NPI registry as an "individual" on June 20, 2007

The provider is located at 3414 Golden Rd Tyler, Tx 75701 and the phone number is (903) 939-7500

The provider's speciality is Specialist with taxonomy code 174400000X

This NPI record was last updated on June 20, 2007. 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].
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