MR. PHILIP TOD FULLER PA-C MMS BS EMT-P NPI 1447403209

NPI Information

  • NPI: 1447403209
  • Provider Name: MR. PHILIP TOD FULLER, PA-C, MMS, BS, EMT-P
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1411 S POTOMAC ST
    SUITE 400
    AURORA, CO
    ZIP 80012
  • Phone: (303) 695-6060

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NPI Details

MR. Philip Tod Fuller, PA-C, MMS, BS, EMT-P is a surgical physician assistant in Aurora, CO with 17 years of experience. MR. Philip Tod Fuller, PA-C, MMS, BS, EMT-P NPI is 1447403209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1411 S POTOMAC ST
SUITE 400
AURORA, CO
ZIP 80012-536
Phone: (303) 695-6060
Fax: (303) 369-7776

The NPI 1447403209 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 10/24/2008 and was last updated on 10/24/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical2697COLORADOYes

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: 3/30/2025

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