SIDNEY J. FULLER CCP – NPI #1386786853
Perfusionist

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

SIDNEY FULLER is a perfusionist located in TUCSON, AZ. NPPES has assigned the NPI number 1386786853 to SIDNEY FULLER on February 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 242T00000X from the Health Care Provider Taxonomy code set, which is classified as Perfusionist.

The NPI profile was previously updated about 15 years ago on Dec 16, 2010. 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 SIDNEY FULLER below.

NPI Profile for
SIDNEY J. FULLER

NPI Number
1386786853
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SIDNEY J. FULLER
Credentials
CCP
Primary location
6200 N. LA CHOLLA BLVD.
NORTHWEST MEDICAL CENTER
TUCSON, AZ 85741
Phone: (520) 742-9000 Fax: (520) 469-8591
Mailing address
2251 N. INDIAN RUINS ST. C
PALO VERDE PERFUSION
TUCSON, AZ 85715
Phone: (520) 885-8800 Fax: (520) 885-2000
Sole Proprietor
No
Updated
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
242T00000X
- Perfusionist (Primary)
171W00000X
- Contractor

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.