RACHEL FORTUNE


Address: 64 Double Hill Rd, Bethlehem, CT 06751-1101
Phone: 3038548888

RACHEL FORTUNE (NPI# 1184779555) 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) 1184779555
Entity Type Individual
Full Name RACHEL FORTUNE
Credential MD
Practice Address 64 Double Hill Rd
Bethlehem
CT 06751-1101
Mailing Address 16 Richard Sweet Dr
Woodbridge
CT 06525-1126
Practice Telephone 3038548888
Mailing Telephone 3038548888
Enumeration Date 2007-01-24
Last Update Date 2014-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
51267 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 49437518 05

Office Location

Street Address 64 DOUBLE HILL RD
City BETHLEHEM
State CT
Zip Code 06751-1101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487609921 Cathy Hulbert Laney Nurse Practitioner 64 Double Hill Rd, Bethlehem, CT 06751-1101 2006-05-23
1528502853 Jennifer Nolan Nurse Practitioner 64 Double Hill Rd, Bethlehem, CT 06715 2016-12-06
1548630072 Samantha Ines Savarino Nurse Practitioner 64 Double Hill Rd, Bethlehem, CT 06751-1101 2015-09-26
1508195959 Monroe Operations, LLC Psychiatric Residential Treatment Facility 64 Double Hill Rd, Bethlehem, CT 06751 2009-12-14
1629271119 Erin Rauscher Nurse Practitioner 64 Double Hill Rd, Bethlehem, CT 06751-1101 2007-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578123436 Towne Apothecary LLC Pharmacy 95 Main St South, Bethlehem, CT 06751 2019-06-13
1780031476 Margaret Biggart Counselor 98 Todd Hill Rd, Bethlehem, CT 06751 2016-05-23
1538590922 Holly Andrea Leever Acupuncturist 381 Guilds Hollow Rd, Bethlehem, CT 06751 2013-12-10
1932105293 Bethlehem Ambulance Association Inc Ambulance Main St South, Bethlehem, CT 06751 2005-06-22
1922351667 Catherine Nagle Counselor 21 Arch Bridge Rd, Bethlehem, CT 06751 2012-10-18
1154475184 The Wellspring Foundation, Inc. Clinic/Center 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 2007-01-23
1962575407 Andrew C. Wells Family Medicine 22east St, Bethlehem, CT 06751-0490 2006-11-15
1407417124 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 98 Todd Hill Rd, Bethlehem, CT 06751-1018 2019-06-24
1952600595 James M. Lee Dentist 366 Munger Lane, Bethlehem, CT 06751-1100 2011-03-22
1053825067 Jennifer Detlefsen Specialist/Technologist 57 Long Meadow Rd, Bethlehem, CT 06751-1116 2017-11-29
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285691899 Jorge A Otero Pediatrics 2223 Linden St, Bethlehem, PA 18017-4806 2006-04-27
1861501496 Maria Antonia Ramos Pediatrics 2223 Linden St, Bethlehem, PA 18017-4806 2006-08-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780246306 Pediatric Health Associates of Coneecticut, LLC Pediatrics 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 2019-07-03
1073943668 Pediatric Walk In Care LLC Pediatrics 141 B Hazard Avenue, Enfield, CT 06082-5412 2013-11-18
1225319445 Enfield Pediatric Associates,p.c. Pediatrics 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 2011-09-01
1962686824 Kimberly Ju Kim Pediatrics 820 C Prospect Hill Road, Windsor, CT 06095 2007-12-27
1326166125 Mary A. Simon Pediatrics 7 Melrose Dr, Farmington, CT 06032-0893 2007-03-27
1376678516 Sydney Zane Spiesel Pediatrics 8 Lunar Dr, Woodbridge, CT 06525-2352 2007-02-21
1649314279 Charles Ray Jones Pediatrics 111 Park St Ste F, New Haven, CT 06511-5412 2007-02-16
1427110469 Radhika Malhotra Pediatrics 100 Bank St, Suite 307, Seymour, CT 06483-2806 2006-12-15
1386704682 Andrews Adu Adade Pediatrics 18 Hillandale Ave, Stamford, CT 06902-2808 2006-12-11
1982706032 John Gerald Pitegoff Pediatrics 1225 Silver St, Middletown, CT 06457-3920 2006-09-01
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Competitor

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City BETHLEHEM
Zip Code 06751

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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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