MARK ROUTON FORTSON (NPI# 1457452591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457452591 |
| Entity Type | Individual |
| Full Name | MARK ROUTON FORTSON |
| Credential | M.D. |
| Practice Address |
2300 Machester Expy Ste A 201 Columbus GA 31904-6856 |
| Mailing Address |
Po Box 9046 Columbus GA 31908-9046 |
| Practice Telephone | 7063202766 |
| Practice Fax Number | 7063202768 |
| Mailing Telephone | 7063202766 |
| Mailing Fax Number | 7063202768 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
24937 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
024937 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 10BDHLT | 01 |
| GA | 000274612 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467413914 | Mark Wilbur Fortson | Psychiatry & Neurology | 2255 Jfk Rd, Dubuque, IA 52002-2846 | 2006-03-31 |
| Street Address |
2300 MACHESTER EXPY STE A 201 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-6856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619461381 | Beth Kulow | Internal Medicine | 395 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-18 |
| 1740455591 | Ali Shadchehr | Internal Medicine | 5170 Hampton Ln, Columbus, OH 43220-6112 | 2008-04-23 |
| 1053530329 | Phillip S. Greene, M.d., IInc. | Internal Medicine | 638 Indian Mound Rd, Columbus, OH 43213-2635 | 2007-04-25 |
| 1922168350 | Richard Spector Robbins | Internal Medicine | 1905 7th Ave, Columbus, GA 31901-1563 | 2006-12-08 |
| 1144390121 | Mark R. Fortson, M.d. P.C. | Internal Medicine | 1907 - C 7th Ave, Columbus, GA 31901 | 2006-11-08 |
| 1962587436 | Richard S Robbins Md PC | Internal Medicine | 1905 Seventh Avenue, Columbus, GA 31901 | 2006-10-25 |
| 1811085616 | Michael N Steinbook | Internal Medicine | 1117 20th St, Columbus, GA 31901-1643 | 2006-10-10 |
| 1659386423 | Columbus Medical Gastroenterology | Internal Medicine | 1211 Dublin Rd Fl 2, Columbus, OH 43215-1091 | 2006-07-30 |
| 1346207818 | Luis F Lara | Internal Medicine | 410 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2006-04-28 |
| 1790779445 | Murray Gastroenterology, LLC | Internal Medicine | 2326 18th St, Ste 120, Columbus, IN 47201-5359 | 2005-09-08 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on MARK ROUTON FORTSON.
| 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.