DR. DAVID M FORTENBERRY (NPI# 1215090774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215090774 |
| Entity Type | Individual |
| Full Name | DR. DAVID M FORTENBERRY |
| Credential | M.D. |
| Practice Address |
600 Mt Highway 91 S Dillon MT 59725-7379 |
| Practice Telephone | 0668330004 |
| Mailing Telephone | 4066833000 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 7151 | MT | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
7151 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
600 MT HIGHWAY 91 S |
| City | DILLON |
| State | MT |
| Zip Code | 59725-7379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235181504 | Bruce T Hayward | Family Medicine | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2006-05-16 |
| 1659870095 | Molly Anne Viall | Massage Therapist | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2018-02-11 |
| 1407206170 | Seth Wiley | Physical Therapist | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2016-06-14 |
| 1326419102 | Barrett Hospital Development Corporation | General Acute Care Hospital | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2015-10-19 |
| 1588061089 | Barrett Hospital & Healthcare | General Acute Care Hospital | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2014-11-26 |
| 1598169849 | Jenny Ann Given | Social Worker | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2014-10-15 |
| 1619370780 | Matthew Bowman | Pharmacist | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2014-10-03 |
| 1851790521 | Cassandra Raffety | Pharmacist | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2014-08-19 |
| 1902215734 | Kathryn Hatch | Physical Therapist | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2014-08-06 |
| 1700293560 | Jenelle Marie White | Physical Therapist | 600 Mt Highway 91 S, Dillon, MT 59725-7379 | 2014-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998508 | Sarah Riebel | Physical Therapy Assistant | 30 State Highway 91, Dillon, MT 59725 | 2020-06-26 |
| 1508397761 | Tawni Harper | Occupational Therapist | 600 State Hwy 91 South, Dillon, MT 59725 | 2017-03-21 |
| 1437532173 | Meghan Combs | Internal Medicine | 600 Mt Hwy 91 S., Dillon, MT 59725 | 2015-06-30 |
| 1962830232 | John B Mccollum | Dentist | 110 S. Idaho Street, Dillon, MT 59725 | 2013-10-24 |
| 1578817789 | Krista Maness | Counselor | 610 N Montana St Ste 10, Dillon, MT 59725 | 2012-11-09 |
| 1891079224 | Montana Migrant and Seasonal Farmworker Council, Inc. | Clinic/Center | 116 N Washington St, Dillon, MT 59725 | 2011-10-04 |
| 1407145527 | Latresha G. Garrison | Counselor | 23 S. Idaho #2, Dillon, MT 59725 | 2011-03-29 |
| 1457657009 | The Legacy Assisted Living LLC | Assisted Living Facility | 1000 Hwy 91 South, Dillon, MT 59725 | 2011-01-31 |
| 1548495518 | Jamie L Koett | Hospitalist | 600 Hwy 91 South, Dillon, MT 59725 | 2009-05-20 |
| 1164666889 | Justin Howard Rhodes | Student in an Organized Health Care Education/Training Program | 327 E. Helena St, Dillon, MT 59725 | 2009-04-24 |
| Find all providers in zip 59725 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710119664 | Centers for Advanced Vein Care of Montana Pllc | Surgery | 1417 9th St S Ste 201, Great Falls, MT 59405-4509 | 2009-08-11 |
| 1881830610 | Benefis Medical Group | Surgery | 500 15th Avenue South, Great Falls, MT 59405-4304 | 2008-12-29 |
| 1780685636 | Michael B Orcutt | Surgery | 1400 29th St S Ste 201, Great Falls, MT 59405-5316 | 2005-08-02 |
| 1972918639 | Thomas Joseph Desmarais | Surgery | 1233 N 30th St, Billings, MT 59101-0127 | 2014-06-21 |
| 1972811768 | Providence Health & Services Mt | Surgery | 500 W Broadway St, Missoula, MT 59802-4008 | 2010-09-15 |
| 1023253044 | Marcus Daly Memorial Hospital Corporation | Surgery | 1150 Westwood Dr, Suite C, Hamilton, MT 59840-5318 | 2008-12-04 |
| 1053599407 | Robert J Hancock | Surgery | 801 N 29th St, Billings, MT 59101-0905 | 2008-02-07 |
| 1386829216 | William J Harper Md PC | Surgery | 400 Saddle Dr, Helena, MT 59601-5631 | 2008-01-09 |
| 1366627341 | Thomas F Beeson Md PC | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2008-01-08 |
| 1942414040 | Patrick Joshua O'brien | Surgery | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-05-09 |
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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.