Clark J Fullmer Ii is a Dickinson, North Dakota based male podiatrist with 29 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from California School Of Podiatric Medicine in 1995. He is also affiliated with hospitals like Mckenzie County Healthcare Systems Inc. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Clark J Fullmer Ii for Podiatric Foot & Ankle Surgery is 60 in North Dakota. Clark J Fullmer Ii provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Clark J Fullmer Ii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
29+ years
Medical School Attended:
California School Of Podiatric Medicine
Graduation Year:
1995
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2615 Fairway St, Dickinson, North Dakota, 58601
Phone:
701-456-6000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4981708567
Enrollment ID:
I20100127000303
NPI Number:
1649240557
NPI Enumeration Date:
24 Jan, 2006
NPI Last Update On:
30 Aug, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clark J Fullmer Ii are as mentioned below.
License Number
Specialization
State
Status
60
Podiatric Foot & Ankle Surgery
North Dakota
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Mckenzie County Healthcare Systems Inc (351302)
Watford city, ND
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Clark J Fullmer Ii is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Omaha Therapy Inc (1557270915)
9
Sanford Bismarck (9739098575)
393
Other Medical Identifiers:
Other legacy medical identifiers associated with Clark J Fullmer Ii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
14953
Medicaid
North Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2615 Fairway St, Dickinson, North Dakota
Zip:
58601-2590
Phone Number:
701-456-6000
Fax Number:
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Patients can reach Clark J Fullmer Ii at 2615 Fairway St, Dickinson, North Dakota or can call to book an appointment on 701-456-6000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.