Jill M Julsrud, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

30269 Issued in MN

Practice address

470 W 78TH St
Chanhassen, MN 55317-4524

Phone

(952) 843-4300

Fax

(952) 843-4301

NPI assigned

Feb 17, 2006

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgical Specialties, LTD.

  • Specialist
  • Chanhassen, MN
  • NPI 1942265434
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1306811070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174539",
            "telephone_number": "952-843-4300",
            "fax_number": "952-843-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174524",
            "telephone_number": "952-843-4300",
            "fax_number": "952-843-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULSRUD",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "30269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749207300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel P. Eichers, D.C.,P.a. (Eichers Chiropractic)
• James Erik Johanson, M.D.
• Ellen Johnson, DPT
• Amy Elisabeth Jones, RPH
• Christine L, Joyce
• Kristin Jurkowski, LPCC
• Virginia L Kakacek, M.D.
• Kandor Physical Therapy & Pelvic Health LLC
• Kaplan Transportation Inc
• Erin Christine Karels, CMT

• Specialist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.