Organization Active NPI

Eric J Fu MD Inc

  • Surgery Physician
  • Bartlesville, OK
National Provider Identifier
1942418124
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20494 Issued in OK
Legal business name
ERIC J FU MD INC
Practice address
3400 E Frank Phillips Blvd
Suite 301
Bartlesville, OK 74006-2495
Phone
(918) 333-9388
Fax
(918) 333-8828
NPI assigned
May 19, 2007
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Eric J Fu, MD
Title
MD, Ceo
Phone
(918) 333-9388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20494 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd
Suite 301
Bartlesville, OK 74006-2495

Mailing address

3400 E Frank Phillips Blvd
Suite 301
Bartlesville, OK 74006-2495
Phone (918) 333-9388

Other identifiers 1

IdentifierTypeStateIssuer
100062850AMedicaidOK

National Provider Directory

National Provider Directory

Locations

3400 E Frank Phillips Blvd
Ste 301
Bartlesville, OK 74006
Phone (918) 333-9388

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1942418124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 301",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-333-9388",
            "fax_number": "918-333-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 301",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-333-9388",
            "fax_number": "918-333-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J FU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD, CEO",
        "authorized_official_telephone_number": "918-333-9388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "20494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100062850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.