THERESA VICTORIA FORTY (NPI# 1982022976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982022976 |
| Entity Type | Individual |
| Full Name | THERESA VICTORIA FORTY |
| Credential | D.O. |
| Practice Address |
1900 Electric Rd Salem VA 24153 |
| Mailing Address |
11885 E 12 Mile Rd Ste 300a Warren MI 48093-3467 |
| Practice Telephone | 5407764000 |
| Mailing Telephone | 5865826630 |
| Mailing Fax Number | 5865826631 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0102205314 | VA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 5101020889 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11885 E 12 Mile Rd Ste 300a, Warren, MI 480933467 | 5865826630 | 5865826631 |
| Street Address |
1900 ELECTRIC RD |
| City | SALEM |
| State | VA |
| Zip Code | 24153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281730 | Norberto Paras | Internal Medicine | 1900 Electric Rd, Salem, VA 24153-7474 | 2005-10-31 |
| 1376159335 | Hanna-nicole Stanley | Physician Assistant | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-09-16 |
| 1306469614 | Faraaz Bhatti | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-20 |
| 1336761972 | Tyler Starman | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-16 |
| 1619599644 | Christopher Patrick Cooney | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-13 |
| 1629690987 | Emily Yau | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-10 |
| 1124640461 | Libeneur Loriston | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-09 |
| 1861014227 | Brandon Kuley | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-08 |
| 1043832413 | Beverly Nyokabi | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-08 |
| 1962024398 | Kathryn Garcia | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760725485 | Deirdre Harmony Witte | Emergency Medicine | Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 | 2013-04-01 |
| 1689992117 | Jillian Colleen Schmunk | Emergency Medicine | 890 Oak Street, Se, Building A, Salem Emergency Physicians Services, Salem, OR 97301 | 2010-05-07 |
| 1184894081 | Lourdes Maria Page | Emergency Medicine | 429 Homeplace Dr, Salem, VA 24153-7158 | 2008-03-06 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1477672483 | Michael Joseph Barra | Emergency Medicine | 890 Oak St Se Bldg A, Salem, OR 97301-3905 | 2007-03-29 |
| 1396810206 | David Austin Rideout | Emergency Medicine | 60 Washington St Ste 403, Salem, MA 01970-3517 | 2006-11-24 |
| 1134204795 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| 1154336444 | Jenai E Beland Cohen | Emergency Medicine | Salem Hospital, 81 Highland Avenue, Salem, MA 01970 | 2006-07-29 |
| 1013942192 | John A Michael | Emergency Medicine | 28 1/2 Broad St, Salem, MA 01970-3143 | 2006-07-11 |
| 1447293337 | Davis K Cho | Emergency Medicine | 1002 Bellevue St Se, Salem, OR 97301-4006 | 2006-06-14 |
| Find all providers in SALEM | ||||
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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.