DR. CLINTON J FULLER M.D. NPI 1548214380

NPI Information

  • NPI: 1548214380
  • Provider Name: DR. CLINTON J FULLER, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9601 LILE DR
    SUITE 1100
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 227-5256

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NPI Details

DR. Clinton J Fuller, M.D. is a diagnostic radiology radiology in Little Rock, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Clinton J Fuller, M.D. NPI is 1548214380. 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:

9601 LILE DR
SUITE 1100
LITTLE ROCK, AR
ZIP 72205-321
Phone: (501) 227-5256
Fax: (501) 227-9151

The NPI 1548214380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Injection of contrast for imaging of lower spinal canal (HCPCS:62284)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of lower spine with contrast (HCPCS:72132)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Double contrast x-ray of upper digestive tract (HCPCS:74246)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 1/19/2010.

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
12085R0202XRadiologyDiagnostic RadiologyC-5055ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D79433MEDICARE UPINARKANSAS
2109834001MEDICAIDARKANSAS
351792MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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: 11/21/2025

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