DR. GARY J FORTUNE (NPI# 1679783930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679783930 |
| Entity Type | Individual |
| Full Name | DR. GARY J FORTUNE |
| Credential | DO |
| Practice Address |
18375 Walnut Crst Marthasville MO 63357-2159 |
| Practice Telephone | 6364335737 |
| Practice Fax Number | 6364335144 |
| Mailing Telephone | 6364335737 |
| Mailing Fax Number | 6364335144 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
2007019180 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447729504 | Gary Fortune | Behavior Technician | 373 S Willow St Ste 266, Manchester, NH 03103-5751 | 2018-11-19 |
| Street Address |
18375 WALNUT CRST |
| City | MARTHASVILLE |
| State | MO |
| Zip Code | 63357-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801083704 | Patients First Health Care | Family Medicine | 200 N Hwy 47, Marthasville, MO 63357 | 2007-09-25 |
| 1558384214 | Timothy P Long | Family Medicine | 200 N Highway 47, Marthasville, MO 63357 | 2006-07-25 |
| 1770568743 | Marthasville Community Ambulance District | Ambulance | 200 South Street, Marthasville, MO 63357-0182 | 2005-12-13 |
| 1225185937 | Sarah Lorraine Mehrhoff | Physical Therapist | 906 Ozark St, Marthasville, MO 63357-1322 | 2007-01-04 |
| 1962555979 | Anthony Thomas Balistrieri | Counselor | 44 Walnut Crst, Marthasville, MO 63357-1508 | 2007-01-21 |
| 1215298880 | Harvard Yale Muhm | Surgery | 19741 State Highway O, Marthasville, MO 63357-1687 | 2012-05-31 |
| 1700202959 | Jennifer J. Gradel | Licensed Practical Nurse | 200 State Highway 47, Marthasville, MO 63357-1714 | 2014-03-12 |
| 1427409499 | Stacy Kloeppel | Occupational Therapist | 26 Kountry Ln, Marthasville, MO 63357-1750 | 2016-06-30 |
| 1518290287 | Richard Plattner Parsons | Clinic/Center | 26815 W State Highway 94, Marthasville, MO 63357-3506 | 2009-09-14 |
| 1427330281 | William B Mchugh | Dentist | 303 Depot St, Marthasville, MO 63357-4200 | 2011-09-16 |
| Find all providers in zip 63357 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609421 | Healthstat Inc Parker Sporlan | Preventive Medicine | 206 Lange Dr, Washington, MO 63090-1040 | 2020-08-17 |
| 1699279604 | Kim Krystal Koike | Preventive Medicine | 13 Great Lakes Dr, Saint Peters, MO 63376-3225 | 2018-03-23 |
| 1700393840 | Healthstat American National Insurance Co | Preventive Medicine | 1949 E Sunshine St, Springfield, MO 65899-0001 | 2018-01-10 |
| 1720486756 | Healthstat On-site Clinic Watlow Hannibal Mo | Preventive Medicine | 6 Industrial Loop, Hannibal, MO 63401-6052 | 2014-12-08 |
| 1558769596 | Healthstat On-site Clinic Watlow Columbia Mo | Preventive Medicine | 2101 Pennsylvania Dr, Columbia, MO 65202-1937 | 2014-12-08 |
| 1376940080 | Healthstat On-site Clinic Watlow St. Louis | Preventive Medicine | 12001 Lackland Rd, Saint Louis, MO 63146-4001 | 2014-11-24 |
| 1437555729 | Health On-site Clinic Polsinelli Kansas City Mo | Preventive Medicine | 900 W 48th Pl, Suite 900, Kansas City, MO 64112-1895 | 2014-11-13 |
| 1255684452 | Healthstat On-site Clinic/mcc | Preventive Medicine | 3444 Broadway St, Kansas City, MO 64111-2412 | 2012-10-25 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1659677656 | Belisario R Cabanilla | Preventive Medicine | 800 N Lindbergh Blvd # Lc1f, Saint Louis, MO 63167-0001 | 2011-02-08 |
| Find all providers with the same taxonomy | ||||
| City | MARTHASVILLE |
| Zip Code | 63357 |
Please comment or provide details below to improve the information on DR. GARY J FORTUNE.
| 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.