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Active NPI 1508818220 Individual Practitioner Male Practitioner

Dr. Jose M Fulco , MD

Surgery • Northfield, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jose Fulco, MD is a registered healthcare professional specializing in Surgery in Northfield, MN. Practice services are available at 1400 JEFFERSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Jefferson Rd

Northfield, MN 550573081

Telephone 5076639000
Associated Practice Facility / Clinic
🏢 Urology Associates, Ltd. Facility NPI 1740584614

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Northfield, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Northfield, MN (770 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

CMS Verified: 2021-03-10
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 30002

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
602390800 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Michael Burgdorf

Family Medicine

NPI 1003497306
Dr. Saul Mcbroom , MD

Family Medicine

NPI 1003991449

Doctor of Medicine (M.D.)

Katherine Rogers

Family Medicine

NPI 1013546456
Lara Brown , LICSW

Social Worker - Clinical

NPI 1023552130

Licensed Independent Clinical Social Worker

Dr. Scott Koehler , MD

Family Medicine - Sports Medicine

NPI 1033173414

Doctor of Medicine (M.D.)

Dr. Meghann Malecha , DNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033712104

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2011

Registered at 1400 JEFFERSON RD, NORTHFIELD, MN 550573081 (Tel: 5076639000)

📍
Updated Business Mailing Address November 30, 2011

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122625000)

👤
Provider Name / Credentials Updated November 30, 2011

Recorded as JOSE FULCO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2011

Surgery (License #30002 in MN)

🟢
Initial NPI Registration & Enumeration May 17, 2006

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: 1508818220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: March 10, 2021
Sole Proprietor: No

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122625000

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.