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ANDREW RICHARD FUSON M.D. NPI 1124461108


NPI Profile

NPI: 1124461108
Provider Name: ANDREW RICHARD FUSON, M.D.
Classification:Otolaryngology - 207Y00000X
Entity Type: Individual
Organization: OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

PECOS Registration: Yes

Address:
619 19TH ST S
BIRMINGHAM, AL
ZIP 35249
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Phone: (205) 934-4011

Andrew Richard Fuson, M.D. is an otolaryngology in Birmingham, AL with 9 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Andrew Richard Fuson, M.D. NPI is 1124461108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2013

The provider's business location address is:

619 19TH ST S
BIRMINGHAM, AL
ZIP 35249-900
Phone: (205) 934-4011

The NPI 1124461108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 12/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology2018025679MISSOURINo
2207Y00000XOtolaryngology323416LOUISIANANo
3390200000XStudent in an Organized Health Care Education/Training ProgramDISTRICT OF COLUMBIANo
4207Y00000XOtolaryngology38272ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 1/9/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.