Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Ellis Fuller, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1053314443

Dr. Jonathan Ellis Fuller, MD is an Orthopaedic Surgery of the Spine Physician in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2005.

Licensed in
NE
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13616 California St Ste 100
Omaha, NE 68154-5335
Phone: (402) 496-0404
Fax: (402) 496-0517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 20813 (NE)

Record details

NPI number1053314443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESJanuary 28, 2009

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