Organization Active NPI

Norma J Fuelberth MD

  • Obstetrics & Gynecology Physician
  • Ennis, TX
National Provider Identifier
1245477389
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J0493 Issued in TX
Legal business name
NORMA J FUELBERTH MD
Practice address
805 W Lampasas St
Ennis, TX 75119-4535
Phone
(972) 875-9494
Fax
(972) 878-0689
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Norma J Fuelberth, MD
Title
Owner
Phone
(972) 875-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X J0493 TX Primary

Addresses

Primary practice location

805 W Lampasas St
Ennis, TX 75119-4535

Mailing address

805 W Lampasas St
Ennis, TX 75119-4535
Phone (972) 875-9494

Other identifiers 1

IdentifierTypeStateIssuer
033688501MedicaidTX

National Provider Directory

National Provider Directory

Locations

805 W Lampasas St
Ennis, TX 75119
Phone (972) 875-9494

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1245477389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194535",
            "telephone_number": "972-875-9494",
            "fax_number": "972-878-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194535",
            "telephone_number": "972-875-9494",
            "fax_number": "972-878-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA J FUELBERTH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "FUELBERTH",
        "authorized_official_first_name": "NORMA J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-875-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J0493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033688501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.