EDWARD STEVEN FULLER PA-C
NPI 1932257672
Physician Assistant - Surgical in Detroit, MI

NPI Status: Active since January 08, 2007

Contact Information

22101 MOROSS ROAD
DETROIT, MI
ZIP 48236
Phone: (313) 343-6866

Get Directions Write a Review

  • Individual
  • Male
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • PECOS Enrolled

About EDWARD FULLER

This page provides the complete NPI Profile along with additional information for Edward Fuller, a provider established in Detroit, Michigan with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1932257672 assigned on January 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 5601002984 (MI). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1932257672
Provider Name
EDWARD STEVEN FULLER PA-C
Gender
Male
Entity Type
Individual
Location Address
22101 MOROSS ROAD DETROIT, MI 48236
Location Phone
(313) 343-6866
Mailing Address
5041 YANKEE ST. CLAIR, MI 48079
Mailing Phone
(810) 329-6435
Is Sole Proprietor?
Yes
Enumeration Date
01-08-2007
Last Update Date
07-08-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601002984
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Edward Fuller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for EDWARD STEVEN FULLER PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932257672, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 4 + 5 + 1 + 4 + 6 + 1 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1932257672.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS ROAD, SJHMC-DEPARTMENT OF PATHOLOGY
GROSSE POINTE WOODS, MI 48236
Emergency Medicine
22101 MOROSS ROAD, DEPARTMENT OF EMERGENCY MEDICINE
DETROIT, MI 48236
Family Medicine
22101 MOROSS ROAD, ST JOHN HOSPITAL AND MEDICAL CENTER
DETROIT, MI 48236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932257672, enumerated as an "individual" on January 08, 2007.

The provider is located at 22101 MOROSS ROAD DETROIT, MI 48236 and the phone number is (313) 343-6866.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: McLaren Health Plan Community and Priority Health. Please consult your insurance carrier or call the provider to verify.