John M Fornarotto (NPI# 1598750838, PAC ID# 6204853906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1598750838 |
| PAC ID by PECOS | 6204853906 |
| Professional Enrollment ID | I20081015000131 |
| Full Name | John M Fornarotto |
| Organization Legal Name | JOHN FORNAROTTO PLLC |
| Address |
246 N 18th Ave Pocatello ID 83201-3324 |
| Phone Number | 2082344100 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2860419561 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 246 N 18th Ave, Pocatello, ID 83201-3324 | 2082344100 | JOHN FORNAROTTO PLLC |
| Organization Legal Name | JOHN FORNAROTTO PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan S Johnson | Optometry | John Fornarotto Pllc | 246 N 18th Ave, Pocatello, ID 83201-3324 |
| Street Address |
246 N 18TH AVE |
| City | POCATELLO |
| State | ID |
| Zip | 83201-3324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan S Johnson | Optometry | John Fornarotto Pllc | 246 N 18th Ave, Pocatello, ID 83201-3324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | POCATELLO + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on John M Fornarotto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.