Courtney Fulton, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR.0060011 Issued in CO

Practice address

2596 F Rd
Grand Junction, CO 81505-1443

Phone

(970) 254-3180

Fax

(970) 254-3198

NPI assigned

Jul 11, 2018

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Community Medical Group, LLC

  • Internal Medicine Physician
  • Grand Junction, CO
  • NPI 1043640634

  CO

  Medicare reassignment Care Compare group NPD
• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407

  CO

  Medicare reassignment NPD
• Grand Valley Orthopedics

  • Specialist
  • Grand Junction, CO
  • NPI 1003319492

  CO, Surgery

  Medicare reassignment NPD (past)
• Colorado West Healthcare System

  • Plastic Surgery Physician
  • Grand Junction, CO
  • NPI 1205239555
  NPD
• Colorado West Healthcare System

  • Specialist
  • Grand Junction, CO
  • NPI 1811398324
  NPD
• Community Medical Group, LLC

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1558505503
  NPD
• Community Medical Group, LLC

  • Specialist
  • Grand Junction, CO
  • NPI 1720736937
  NPD
• Grand Valley Orthopedics

  • Specialist
  • Grand Junction, CO
  • NPI 1487292868
  NPD
• Community Medical Group

  • Specialist
  • Grand Junction, CO
  • NPI 1689098295
  NPD (past)
• Community Medical Group, LLC

  • Specialist
  • Grand JCT, CO
  • NPI 1265079545
  NPD (past)
• Community Medical Group, LLC

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1629201637
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1487130670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-263-2619",
            "fax_number": "970-263-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 F RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051443",
            "telephone_number": "970-254-3180",
            "fax_number": "970-254-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "COURTNEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0060011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeena Fuller, PA-C
• Mackenzie Fuller
• Nicole Kathleen Fuller, RD
• Joshua Fullmer, MS, ATC
• Rebecca Fulmer, M.D.
• Richard Eustis Fulton III, M.D.
• Fun at the Dentist Professional LLC
• Cathy Mary Funderburk, RN
• Joseph Robert Funderburk, DDS
• Kira Debell Funderburk, D.D.S.

• All providers in Grand Junction, CO
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.