DR. JAMES ELTON FULLWOOD JR. DPM
NPI 1184936643
Podiatrist - Foot & Ankle Surgery in Pittsfield, ME
About Dr. James Elton Fullwood Jr. Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES ELTON FULLWOOD JR. DPM (NPI 1184936643) is an individual foot & ankle surgery provider in Pittsfield, Maine, licensed in Maine (POD 1088) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. James Elton Fullwood Jr. Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MENorthern Light Sebasticook Valley Hospital
Critical Access Hospitals · Pittsfield, MEMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSFIELD, ME 04967
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Fullwood's NPI number?
The NPI number for James Fullwood is 1184936643. It was assigned to this individual provider in the NPPES registry on July 12, 2010.
Where is James Fullwood located?
James Fullwood practices at 447 N Main St, Pittsfield, ME 04967. The listed phone number is (207) 487-6455.
What is James Fullwood's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is James Fullwood enrolled in Medicare?
Yes. James Fullwood is registered in the Medicare PECOS enrollment system.
Is James Fullwood affiliated with any hospitals?
According to CMS data, James Fullwood is affiliated with St Joseph Hospital and Northern Light Sebasticook Valley Hospital.
When was this NPI record last updated?
The NPPES record for James Fullwood was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. James Elton Fullwood Jr., DPM · NPI 1184936643
Foot & Ankle Surgery provider in Pittsfield, Maine. Individual provider, active in the CMS NPPES registry since July 12, 2010.
## Identity
- **NPI:** 1184936643 (Entity type: Individual)
- **Enumerated:** July 12, 2010
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** POD 1088 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 447 N MAIN ST, Pittsfield, ME 04967-3707
- **Phone:** (207) 487-6455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1184936643) · Data from the CMS NPPES public registry.