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NPI · 1679922678 · NPPES-sourced

Jordan Fuller D.O.

ActiveInternal Medicine
NPI Number
1679922678
Type 1 · Individual
Taxonomy Code
207R00000X
Contact
(727) 853-1701
License FL · OS15231
Last Updated
Enumerated
Primary practice addressFL · 33706-3113
61 Dolphin DrTreasure Island, FL 33706-3113
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About this NPIWhat this record shows.

NPI 1679922678 is registered to Jordan Fuller D.O., a Internal Medicine practising at 61 Dolphin Dr in Treasure Island, Florida. Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties. Jordan Fuller D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jordan Fuller D.O. accepts. To confirm in-network status with your specific health plan, contact Jordan Fuller D.O. directly at (727) 853-1701.

Frequently asked

Yes. NPI 1679922678 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (727) 853-1701.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jordan Fuller D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207R00000X
Last updated
Enumerated
StatusActive
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5 records · same addressOther providers at this location.

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Same specialtyOther Internal Medicine providers in Florida.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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