FORTUNE VEIN CLINIC (NPI# 1114912698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114912698 |
| Entity Type | Organization |
| Organization Name | FORTUNE VEIN CLINIC |
| Practice Address |
7125 E Lincoln Dr Suite B109 Scottsdale AZ 85253-4429 |
| Practice Telephone | 4809912100 |
| Practice Fax Number | 4809912102 |
| Mailing Telephone | 4809912100 |
| Mailing Fax Number | 4809912102 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT LLOYD FORTUNE (MANAGING EMPLOYEE) |
| Authorized Official Telephone | 4809912100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
13540 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
7125 E LINCOLN DR SUITE B109 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85253-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831381409 | Gary F Bernard Dds & Associates Pllc | Dentist | 7125 E Lincoln Dr, #103, Scottsdale, AZ 85253 | 2007-08-16 |
| 1356560338 | Jonathan S Coombs | Dentist | 7125 E Lincoln Dr, Suite 106, Scottsdale, AZ 85253-4429 | 2007-04-25 |
| 1386681344 | Jonathan S Coombs | Dentist | 7125 E Lincoln Dr, #106, Scottsdale, AZ 85253-4429 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114187 | Rss Patricia Greene Pllc | Dentist | 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253 | 2017-10-03 |
| 1205214418 | Orlando Cabrera | Psychiatry & Neurology | 7007 E. Doubletree Ranch Road, Paradise Valley, AZ 85253 | 2015-05-08 |
| 1841547064 | Gerald Ritt | Pharmacist | 5525 E Lincoln, #127, Paradise Valley, AZ 85253 | 2012-08-07 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1548596729 | Elizabeth Louise Garrett | Specialist | 5219 E Via Buena Vista, Paradise Valley, AZ 85253 | 2009-10-23 |
| 1659606622 | Thomas Fishburne Jemison | Naturopath | 10505 N 69th St Ste 1100, Scottsdale, AZ 85253 | 2009-10-08 |
| 1417189408 | Comprehensive Orthopedics, LLC | Orthopaedic Surgery | 10595 N. Tatum Blvd., Suite E 142, Paradise Valley, AZ 85253 | 2009-08-10 |
| 1962691113 | Scottsdale Dental Rehabilitation Cntr Ltd | Dentist | 7170 E Mcdonald Ave, Ste 1, Scottsdale, AZ 85253 | 2007-10-23 |
| 1588866339 | Nendos | Specialist | 8550 N Canta Bello Dr, Pardise Valley, AZ 85253 | 2007-06-04 |
| 1063570810 | Terrance Sheridan | Specialist/Technologist | 3901 E. Stanford Drive, Paradise Vallye, AZ 85253 | 2006-12-05 |
| Find all providers in zip 85253 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790144889 | Scottsdale Healthcare Corporation | Surgery | 7301 E Osborn Rd., Suite 100, Scottsdale, AZ 85251 | 2016-02-17 |
| 1588061535 | Eugene Melvin Zweiback Md | Surgery | 7619 E Nogales Road, Scottsdale, AZ 85258 | 2014-11-19 |
| 1578833737 | Sydney Phillip Ross | Surgery | 7408 North Tombstone Road, Scottsdale, AZ 85258 | 2012-01-05 |
| 1962463471 | Ho Ho Kam Surgeons Ltd | Surgery | 10290 North 92nd Street, Suite 300, Scottsdale, AZ 85258 | 2006-04-01 |
| 1922098375 | Robert Lloyd Fortune | Surgery | 9290 E Thompson Peak Pkwy, Unit 257, Scottsdale, AZ 85255-4507 | 2005-10-26 |
| 1063413904 | Venkatesh G Ramaiah | Surgery | 7285 E Earll Dr Bldg C, Scottsdale, AZ 85251-7230 | 2005-08-02 |
| 1023633633 | Alex Westerband Md Pllc | Surgery | 9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036 | 2020-06-09 |
| 1730675547 | Pulse Cardiovascular Institute LLC | Surgery | 7285 E Earll Dr Bldg C, Scottsdale, AZ 85251-7230 | 2018-07-04 |
| 1649522848 | Scottsdale Vein and Laser Center LLC | Surgery | 8600 E Via De Ventura, Suite 103, Scottsdale, AZ 85258-3323 | 2012-10-11 |
| 1104144849 | Alessandra Puggioni, Md, Pllc | Surgery | 7331 E Osborn Dr, Suite 220, Scottsdale, AZ 85251-6435 | 2010-05-05 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85253 |
Please comment or provide details below to improve the information on FORTUNE VEIN CLINIC.
| 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.