EDWARD P. FULLER MD – NPI #1457454548
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

EDWARD FULLER is a pathologist located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1457454548 to EDWARD FULLER on September 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARD FULLER below.

NPI Profile for
EDWARD P. FULLER

NPI Number
1457454548
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWARD P. FULLER
Credentials
MD
Primary location
101 CIVIC CENTER LANE
LAKE HAVASU CITY, AZ 86403
Phone: (928) 453-3102 Fax:
Mailing address
PO BOX 1189
LAKE HAVASU CITY, AZ 86405-1189
Phone: (928) 854-5370 Fax: (928) 854-7942
Sole Proprietor
No
Updated
Identifiers

Identifiers for EDWARD FULLER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ523242
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)
AZ 26880

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.