EDWARD STEVEN FULLER PA-C
NPI 1932257672
Physician Assistant - Surgical in Detroit, MI
About Edward Steven Fuller Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD STEVEN FULLER PA-C (NPI 1932257672) is an individual surgical provider in Detroit, Michigan, licensed in Michigan (5601002984) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edward Steven Fuller Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48236
DETROIT, MI 48236
GROSSE POINTE WOODS, MI 48236
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward Fuller's NPI number?
The NPI number for Edward Fuller is 1932257672. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Edward Fuller located?
Edward Fuller practices at 22101 Moross Road, Detroit, MI 48236. The listed phone number is (313) 343-6866.
What is Edward Fuller's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Edward Fuller enrolled in Medicare?
Yes. Edward Fuller is registered in the Medicare PECOS enrollment system.
What insurance does Edward Fuller accept?
Health plans from McLaren Health Plan Community and Priority Health list Edward Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edward Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edward Steven Fuller, PA-C · NPI 1932257672
Surgical physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1932257672 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 5601002984 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22101 MOROSS ROAD, Detroit, MI 48236-2172
- **Phone:** (313) 343-6866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1932257672) · Data from the CMS NPPES public registry.