Michael W. Fuller, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA02147 Issued in TX

Practice address

7000 W Plano Pkwy
Suite 200
Plano, TX 75093-8466

Phone

(214) 483-9300

Fax

(214) 483-9301

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Proassist Surgical Associates, LLC

  • Surgical Technologist
  • McKinney, TX
  • NPI 1083788848
  NPD Authorized official
• Proassist Surgical Associate

  • Surgical Technologist
  • Plano, TX
  • NPI 1497087357
  NPD
• Magella Medical Associates Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  NPD (past)
• Pediatric Surgical Associates

  • Pediatric Surgery Physician
  • Plano, TX
  • NPI 1508995358
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1336217702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W PLANO PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938466",
            "telephone_number": "214-483-9300",
            "fax_number": "214-483-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PLANO PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938466",
            "telephone_number": "214-483-9300",
            "fax_number": "214-483-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201918401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Mesneak Fullbright, ARNP
• Fuller Neuropsychology
• Joy Fuller, LPC
• Lauren E Fuller, PH.D.
• Melody Ariel Perez Fuller
• Douglas A Fullington, MD
• Jacqueline Fulmer, MED
• Jan Fulton
• Function Matters LLC
• Claire Funk, RD

• Surgical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.