John R Fuller, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

36770020 Issued in WI

Practice address

500 Vincent St
Stevens Point, WI 54481-1842

Phone

(715) 295-9939

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

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.

• Aspirus Wausau Hospital, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1922321140
  Medicare reassignment NPD
• Aspirus Wausau Hospital, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wausau, WI
  • NPI 1225905102
  NPD
• Aspirus Wausau Hospital, Inc.

  • General Acute Care Hospital
  • Wausau, WI
  • NPI 1558363986
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1801817267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-295-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-295-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "36770020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00069403",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32166500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana Alexis Francois, D.D.S
• Joelle Frank
• Kate L Frank, PT
• Dana Fredrickson, RN, HNB-BC
• Mitchell Fromm, MFT, BS-HPW
• Galena Healthcare LLC
• Gastrointestinal Associates Endoscopy Center, LLC
• John P Gauder, MD
• Shannon Gehrke
• Dean D Gerads, DC,DACBOH,DACRB

• Urology Physician in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Urology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.