Jose M Fulco (NPI# 1508818220, PAC ID# 2961422878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1508818220 |
| PAC ID by PECOS | 2961422878 |
| Professional Enrollment ID | I20051206000715 |
| Full Name | Jose M Fulco |
| Organization Legal Name | NORTHFIELD HOSPITAL |
| Address |
4645 Knutsen Dr Farmington MN 55024-8455 |
| Phone Number | 6514602300 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1984 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2567372998 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240014 | NORTHFIELD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4645 Knutsen Dr, Farmington, MN 55024-8455 | 6514602300 | NORTHFIELD HOSPITAL |
| 2215 Park Ave, Minneapolis, MN 55404-3711 | 6127758927 | ALLINA HEALTH SYSTEM |
| 1400 Jefferson Rd, Northfield, MN 55057-3081 | 5076639000 | ALLINA HEALTH SYSTEM |
| 2000 N Ave, Northfield, MN 55057-1498 | NORTHFIELD HOSPITAL |
| Organization Legal Name | NORTHFIELD HOSPITAL |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice S Mann | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Stephan D Thome | Medical Oncology | Northfield Hospital | 2000 N Ave, Northfield, MN 55057-1498 |
| Lori A Aasen | Nurse Practitioner | Northfield Hospital | 706 Division St S, Northfield, MN 55057-2427 |
| Charles P Reznikoff | Addiction Medicine | Northfield Hospital | 103 15th Seave, Lonsdale, MN 55046-5001 |
| Nicholas W Krawczyk | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Gerard L Ohalloran | Otolaryngology | Northfield Hospital | 1645 Lyndale Ave N, Faribault, MN 55021-2934 |
| Clinton A Muench | Orthopedic Surgery | Northfield Hospital | 1381 Jefferson Rd, Northfield, MN 55057-3080 |
| Cristina M Gonzalez Mendez | Obstetrics/gynecology | Northfield Hospital | 2000 N Ave, Northfield, MN 55057-1498 |
| Souheil E Ailabouni | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Hans Carl Bengtson | Orthopedic Surgery | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Street Address |
4645 KNUTSEN DR |
| City | FARMINGTON |
| State | MN |
| Zip | 55024-8455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas W Krawczyk | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Souheil E Ailabouni | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Hans Carl Bengtson | Orthopedic Surgery | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Mukti B Patel | Physician Assistant | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Katherine E Helgen | Internal Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Kyle J Smisek | Physician Assistant | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Catherine Y Choi | Physical Medicine and Rehabilitation | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Robert C Albright Jr. | Nephrology | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Donald L Lum | Emergency Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Randolph J Reister | Internal Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian A Swedin | Chiropractic | 408 3rd St, Suite 108, Farmington, MN 55024-1355 | |
| Steven M Gliva | Chiropractic | 311 Oak St, Farmington, MN 55024-1358 | |
| Saul A Mcbroom | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Megan A Hasenwinkel | Psychologist, Clinical | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Jodi Lynn Badali Winters | Physician Assistant | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Lori Utech | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Sherri S Oetken | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Timothy E Savageau | Optometry | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Leo P Avenido | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Jessica E Gallagher | Nurse Practitioner | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Find all physicians in zip 55024 | |||
| City | FARMINGTON |
| Zip Code | 55024 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FARMINGTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jose M Fulco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.