DR. JOSE M FULCO (NPI# 1508818220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508818220 |
| Entity Type | Individual |
| Full Name | DR. JOSE M FULCO |
| Credential | MD |
| Practice Address |
1400 Jefferson Rd Northfield MN 55057-3081 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 5076639000 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 30002 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 602390800 | 05 |
| Street Address |
1400 JEFFERSON RD |
| City | NORTHFIELD |
| State | MN |
| Zip Code | 55057-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295710812 | Trent Ronald Steenblock | Podiatrist | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2005-12-07 |
| 1215565544 | Natalya Gail Meehan | Social Worker | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2020-03-31 |
| 1477078525 | Kimberly Ann Szajner | Psychologist | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2017-08-10 |
| 1114450921 | Adei Shaqra | Family Medicine | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2017-04-07 |
| 1518490325 | Siri Shaqra | Student in an Organized Health Care Education/Training Program | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2017-04-07 |
| 1437693546 | Sheralyn J Mcclelland | Acupuncturist | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2016-12-08 |
| 1023552130 | Lara Brown | Social Worker | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2016-12-08 |
| 1578917050 | Robyn Hegland | Family Medicine | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2016-04-20 |
| 1649638883 | Kaitlin Ahlskog | Physician Assistant | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2016-02-02 |
| 1467818161 | Abby Kershaw | Physician Assistant | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750322 | Rebecca Brooks Amundson | Marriage & Family Therapist | 570 Professional Drive, Northfield, MN 55057 | 2019-06-25 |
| 1639734635 | Benedictine Living Community of Northfield, LLC | Assisted Living Facility | 2030 North Avenue, Northfield, MN 55057 | 2019-05-06 |
| 1053798637 | Kevin Cassin | Optometrist | 2019 Jefferson Rd Ste A, Northfield, MN 55057 | 2015-05-02 |
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1689804783 | Angela Lynn Burt | Occupational Therapist | 815 Forest Ave., Three Links Care Center, Northfield, MN 55057 | 2009-07-23 |
| 1659519106 | Heidi Lee Auge | Physical Therapist | 805 Forest Avenue, Three Links Care Center-therapy, Northfield, MN 55057 | 2009-01-21 |
| 1639326689 | Tina Swenson | Speech-Language Pathologist | 1 Northfield, Northfield, MN 55057 | 2008-08-21 |
| 1356567739 | Eric Allen Cram | Chiropractor | 158 Water St. N, Suite 2, Northfield, MN 55057 | 2007-04-17 |
| 1407072689 | Justine Faye Politz | Nurse Practitioner | Northfield Hopital, 2000 N. Ave., Northfield, MN 55057 | 2007-04-17 |
| 1518080399 | John Jacques Hilo | Chiropractor | 158 Water St. N., Suite 2, Northfield, MN 55057 | 2007-04-09 |
| Find all providers in zip 55057 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786135 | David P May | Surgery | 2605 Shore Rd, Northfield, NJ 08225-2136 | 2005-08-09 |
| 1134562481 | Ellie Michelle Cohen | Surgery | 2000 North Ave, Northfield, MN 55057-1498 | 2013-04-16 |
| 1912292186 | John Joseph Millili IIi | Surgery | 2605 Shore Rd, Northfield, NJ 08225-2136 | 2011-06-15 |
| 1508093196 | Ashley Pauline Marek | Surgery | 2000 North Ave, Northfield Hospital, Northfield, MN 55057 | 2009-06-22 |
| 1598929218 | Nandini N Kulkarni | Surgery | 1601 Tilton Rd Ste 4, Northfield, NJ 08225-1858 | 2008-07-11 |
| 1609044205 | Katsiaryna Ericson | Surgery | 2000 North Ave, Northfield, MN 55057-1498 | 2008-02-15 |
| 1073571089 | Christopher Nielsen | Surgery | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725197 | Advanced Surgical Associates of Northern Minnesota LLC | Surgery | 4325 9th Ave W, Hibbing, MN 55746-3032 | 2020-09-23 |
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1063899250 | Andrew Bergersen | Surgery | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2015-04-27 |
| 1619362001 | Sean Luke Peterson | Surgery | 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 | 2015-04-02 |
| 1699173716 | Caliann Tsuitsin Lum | Surgery | 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 | 2014-12-06 |
| 1972920338 | Emily Rapstine Bond | Surgery | 420 Delaware St Se # 207, Minneapolis, MN 55455 | 2014-03-24 |
| 1518200914 | Jessica Shaheen | Surgery | 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 | 2013-04-03 |
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| City | NORTHFIELD |
| Zip Code | 55057 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.