Active NPI
Eric J Fu MD Inc
- Surgery Physician
- Bartlesville, OK
National Provider Identifier
1942418124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20494
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100062850A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.