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

Jared Russel Fuller, DO

Individual provider Anesthesiology Physician · NPI 1669649117

Jared Russel Fuller, DO is an Anesthesiology in APO, Armed Forces Americas. Qualified in 2008, 18 years ago. Practices with San Juan Regional Medical Center, Inc, a 231-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
18
Licensed in
NV
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

4700 N Las Vegas Blvd
APO, AA 89191
Phone: (702) 653-3553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence DO1717 (NV)

Record details

NPI number1669649117
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 14, 2008
Last updated in NPPESFebruary 13, 2013
Mailing address7435 Dumbarton Oaks St, Las Vegas, NV 89166-5227

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice San Juan Regional Medical Center, Inc. — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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