MARY ELAINE FORTKAMP (NPI# 1427298793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427298793 |
| Entity Type | Individual |
| Full Name | MARY ELAINE FORTKAMP |
| Credential | CST |
| Practice Address |
1520 S Main St Dayton OH 45409-2698 |
| Mailing Address |
7584 Roselake Dr Dayton OH 45414-2251 |
| Practice Telephone | 9372231279 |
| Practice Fax Number | 9372239979 |
| Mailing Telephone | 9374545247 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
027735 | OH | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE | 068880307-12 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824561 | Mary Fortkamp | Registered Nurse | 6797 Silver Lakes Dr, Celina, OH 45822-8215 | 2014-09-17 |
| Street Address |
1520 S MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434995 | Mohammed Mazen Dallal | Internal Medicine | 1520 S Main St, # 2, Dayton, OH 45409-2698 | 2005-08-19 |
| 1184006934 | Jennifer Lynn Long | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2015-06-28 |
| 1669872958 | Tatum Toscani | Registered Nurse | 1520 S Main St, Dayton, OH 45409-2698 | 2014-08-25 |
| 1629485933 | Scarlet Burger | Specialist | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2014-07-18 |
| 1578903209 | Mark James Burger | Perfusionist | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2013-06-26 |
| 1437450335 | Jennifer Laine Chronaberry | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2010-11-09 |
| 1689984528 | Amy C. Barton | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2010-10-13 |
| 1306171384 | Gabriel Joe Hays | Internal Medicine | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2009-10-09 |
| 1295964997 | Soumitra Sen | Internal Medicine | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2009-07-02 |
| 1356581557 | Brandy Jo Crouch | Registered Nurse | 1520 S Main St, Dayton, OH 45409-2698 | 2009-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1699225748 | Heather Wilson | Specialist/Technologist, Other | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2016-10-12 |
| 1821414723 | Lanae Wynne Scott | Specialist/Technologist, Other | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2014-03-16 |
| 1003102013 | Niki Frances Harry | Specialist/Technologist, Other | 9000 N Main St, Dayton, OH 45415-1180 | 2011-06-28 |
| 1366735557 | Brian Connelly | Specialist/Technologist, Other | 369 W 1st St, Dayton, OH 45402-3095 | 2011-05-19 |
| 1376775155 | Paul Michael Singleton | Specialist/Technologist, Other | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2009-08-13 |
| 1457580573 | Geri Lynn Johnson | Specialist/Technologist, Other | 30 E Apple St, Suite 6253, Dayton, OH 45409-2939 | 2009-07-10 |
| 1275777070 | Rebecca J Darner | Specialist/Technologist, Other | 30 E Apple St, Suite 6252, Dayton, OH 45409-2939 | 2009-04-23 |
| 1720224736 | Nathan E Burke | Specialist/Technologist, Other | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2008-12-22 |
| 1134269939 | Jennifer Lynn Baldwin | Specialist/Technologist, Other | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2007-02-08 |
| Find all providers in DAYTON | ||||
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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.