DR. JAIRO ALFREDO FORTICH (NPI# 1104867381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104867381 |
Entity Type | Individual |
Full Name | DR. JAIRO ALFREDO FORTICH |
Credential | M.D. |
Practice Address |
140 Market Place Blvd Ste E Knoxville TN 37922-2337 |
Mailing Address |
8848 Cedar Springs Ln Suite 201 Knoxville TN 37923-5415 |
Practice Telephone | 8652122211 |
Practice Fax Number | 8653132149 |
Mailing Telephone | 8652122211 |
Mailing Fax Number | 8653132149 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2019-05-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 40307 | TN | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 40307 | TN | Allopathic & Osteopathic Physicians |
Street Address |
140 MARKET PLACE BLVD STE E |
City | KNOXVILLE |
State | TN |
Zip Code | 37922-2337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659716934 | Sky Locums, LLC | Exclusive Provider Organization | 140 Market Place Blvd Ste E, Knoxville, TN 37922-2337 | 2013-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
Find all providers in zip 37922 |
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 |
---|---|---|---|---|
1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
1013310762 | Knoxville Integrative Medical Center Pllc | Emergency Medicine | 9313 S Northshore Dr, Knoxville, TN 37922-6548 | 2014-10-08 |
1821404435 | Roy Ferraiuolo | Emergency Medicine | 1924 Alcoa Hwy # U-67, Knoxville, TN 37920-1511 | 2014-07-02 |
1093085771 | Joseph Tucker Montgomery | Emergency Medicine | 528 Dixon Rd, Knoxville, TN 37934-1307 | 2012-01-11 |
1346560604 | Chase Winkler Ranson | Emergency Medicine | 1122 Kenesaw Ave, Knoxville, TN 37919-7731 | 2010-06-09 |
1285954842 | Priya Gyani | Emergency Medicine | 112 S Gay St, Apt 307, Knoxville, TN 37902-1128 | 2010-06-07 |
1912224528 | Ann Reed Barnett | Emergency Medicine | 1415 Fremont Place, Knoxville, TN 37917 | 2010-04-23 |
1770712994 | Edwin Palmore Schaumburg | Emergency Medicine | 1924 Alcoa Hwy # U11, Knoxville, TN 37920-1511 | 2009-07-09 |
1558553321 | Neil Chaudhary | Emergency Medicine | 750 Gettysvue Dr, Knoxville, TN 37922-7622 | 2007-08-15 |
1760601090 | Michelle B. Hall | Emergency Medicine | 7019 Rotherwood Dr, Knoxville, TN 37919-7411 | 2007-04-25 |
Find all providers in KNOXVILLE |
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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.