MASON CLEARY DITTHARDT FORTUNO


Address: 8901 Wisconsin Ave, Bethesda, MD 20889-0004
Phone: 3012952737

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider FL Other Service Providers

Office Location

Street Address 8901 WISCONSIN AVE
City BETHESDA
State MD
Zip Code 20889-0004

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City BETHESDA
Zip Code 20889

Improve Information

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Dataset Information

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.

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