DR. TIMOTHY JOHN FORTUNA (NPI# 1093717712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717712 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN FORTUNA |
| Credential | D.O. |
| Practice Address |
7017 Highfields Farm Trl Roanoke VA 24018-5633 |
| Practice Telephone | 5404000938 |
| Mailing Telephone | 5404000938 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2013-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0102201372 | VA | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0102201372 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
7017 HIGHFIELDS FARM TRL |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417211343 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 5610 Williamson Rd, Roanoke, VA 24012-1442 | 2012-06-26 |
| 1306004122 | Paul E. Stromberg | Emergency Medicine | 1906 Bellview Ave, Carilion Clinic Department of Emergency Medicine, Roanoke, VA 24014 | 2008-05-29 |
| 1699816975 | Scott James Crosby | Emergency Medicine | 1906 Belleview Ave., Carilion Clinic Emergency Department, Roanoke, VA 24014-1838 | 2007-02-09 |
| 1447353768 | David B Alligood | Emergency Medicine | 3960 Valley Gateway Blvd, Roanoke, VA 24012-6858 | 2006-09-06 |
| 1306855002 | Stephen Ausband | Emergency Medicine | Crmh 1 South, Roanoke, VA 24033-3367 | 2006-08-05 |
| 1629058169 | Aminidhan D Thakkar | Emergency Medicine | 1212 N Highway 377 Ste 119, Roanoke, TX 76262-6916 | 2006-01-19 |
| 1932737293 | Bryce N Taylor | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-03-31 |
| 1427569524 | Roanoke Physician Services, LLC | Emergency Medicine | 2706 Ogden Rd, Roanoke, VA 24018-0600 | 2017-10-16 |
| 1801328141 | Krista Kohler | Emergency Medicine | 1906 Belleview Ave Se, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014-1838 | 2017-03-28 |
| 1720510910 | Kathryn Rawlings | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2017-03-28 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.