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Active NPI 1386786853 Individual Practitioner Male Practitioner

Sidney J. Fuller , CCP

Perfusionist • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Sidney Fuller, CCP is a registered healthcare professional specializing in Perfusionist in Tucson, AZ. Practice services are available at 6200 N. LA CHOLLA BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6200 N. La Cholla Blvd.
Northwest Medical Center

Tucson, AZ 85741

Telephone 5207429000
Fax 5204698591
Associated Practice Facility / Clinic
🏢 Northwest Hospital Llc Facility NPI 1487607784

Specialty Benchmarks & Practice Insights

Comparative analytics for Perfusionist in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Tucson, AZ (100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Perfusionist Primary Specialty

NUCC Taxonomy Code: 242T00000X

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.

Contractor

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ellen Kulesa , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003215716

Certified Registered Nurse Anesthetist

Dr. Alexis Jimenez , DO

Student in an Organized Health Care Education/Training Program

NPI 1003750118

Doctor of Osteopathic Medicine (D.O.)

Emmanuel Gallegos

Student in an Organized Health Care Education/Training Program

NPI 1003755778
Pamela Lowe , APRN, ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1013189505

Advanced Practice Registered Nurse, ACNPCAG

Eric Stanley , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013457035

Certified Registered Nurse Anesthetist

Cameron Fricke , BSN RN

Registered Nurse - Critical Care Medicine

NPI 1013755206

BSNRN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2010

Registered at 6200 N. LA CHOLLA BLVD., NORTHWEST MEDICAL CENTER, TUCSON, AZ 85741 (Tel: 5207429000)

📍
Updated Business Mailing Address December 16, 2010

Registered at 2251 N. INDIAN RUINS ST. C, PALO VERDE PERFUSION, TUCSON, AZ 85715 (Tel: 5208858800)

👤
Provider Name / Credentials Updated December 16, 2010

Recorded as SIDNEY FULLER, CCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2010

Contractor

🟢
Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386786853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: December 16, 2010
Sole Proprietor: No

Mailing Address

2251 N. Indian Ruins St. C, Palo Verde Perfusion

Tucson, AZ 85715

Phone: 5208858800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.