MASON CLEARY DITTHARDT FORTUNO (NPI# 1558983296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558983296 |
| Entity Type | Individual |
| Full Name | MASON CLEARY DITTHARDT FORTUNO |
| Credential | DMD |
| Practice Address |
8901 Wisconsin Ave Bethesda MD 20889-0004 |
| Practice Telephone | 3012952737 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | FL | Other Service Providers |
| Street Address |
8901 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710246 | Rosemary Grace Carr-malone | Psychiatry & Neurology | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2005-06-15 |
| 1861017212 | Luke White | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-06-11 |
| 1538782545 | Alexander Pastino | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-26 |
| 1104449362 | Justin James De Vera | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-22 |
| 1881217180 | Reece Mckenzie | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-20 |
| 1073135695 | Alex Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-18 |
| 1619599354 | Jacob Mickey Wyse | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1770105413 | Anna M Russell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1699397364 | Jessica Nicole Clark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| 1437770369 | John Richard Sanchez | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199535 | Ebony Andrea Peterman | Military Health Care Provider | 4915 Hampden Ln Unit 103, Bethesda, MD 20814-3699 | 2020-03-20 |
| 1861974990 | Suzanna Hopkins | Military Health Care Provider | 4301 Jones Bridge Rd Rm 1040, Bethesda, MD 20814-4799 | 2018-09-05 |
| 1346760634 | Laura Christine Barba-ruiz | Military Health Care Provider | 8901 Rockville Pike Internal Medicine, Bethesda, MD 20889-0001 | 2017-06-27 |
| 1063674539 | Lauren Chakarian Turza | Military Health Care Provider | 4954 N Palmer Rd Bldg 19, Bethesda, MD 20889-5000 | 2008-06-26 |
| 1346460698 | Caroline Delceta Black | Military Health Care Provider | National Naval Medical Center Rockville Pike, Bethesda, MD 20850 | 2007-04-27 |
| 1255491098 | Joseph Michael Tonning | Military Health Care Provider | Nnmc-occupational Health, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-12-11 |
| 1023114378 | Scott Kushner | Military Health Care Provider | 8901 Wiscosin Ave, Bethesda, MD 20899 | 2006-09-15 |
| 1700491974 | Katherine Grace Whatley | Military Health Care Provider | 4301 Jones Bridge Rd, Bethesda, MD 20814-4799 | 2020-09-14 |
| 1194352591 | Latisha Nicole Smith | Military Health Care Provider | Walter Reed National Military Medical Center, Bethesda, MD 20889-0001 | 2020-03-25 |
| 1689200685 | Nicole Lynn Case | Military Health Care Provider | 4301 Jones Bridge Road, Bethesda, MD 20814 | 2020-03-21 |
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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.