DR. THEODORE FORTMANN (NPI# 1427017748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427017748 |
| Entity Type | Individual |
| Full Name | DR. THEODORE FORTMANN |
| Credential | MD |
| Practice Address |
1001 Hospital Cir Kingfisher OK 73750-5002 |
| Mailing Address |
Po Box 268947 Oklahoma City OK 73126-8947 |
| Practice Telephone | 4053757935 |
| Practice Fax Number | 4053757937 |
| Mailing Telephone | 4056056141 |
| Mailing Fax Number | 4056056244 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8458 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100127600A | 05 | |
| OK | GALAXY HEALTH NETWORK | 270024 | 01 |
| Street Address |
1001 HOSPITAL CIR |
| City | KINGFISHER |
| State | OK |
| Zip Code | 73750-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760779557 | Rachel Cameron | Nurse Practitioner | 1001 Hospital Cir, Kingfisher, OK 73750-5002 | 2011-06-30 |
| 1992341531 | Karlee Jo Torgerson | Physician Assistant | 1001 Hospital Cir, Kingfisher, OK 73750-5002 | 2019-11-19 |
| 1679066682 | Magen J Verkler | Nutritionist | 1001 Hospital Cir, Kingfisher, OK 73750-5002 | 2018-06-13 |
| 1518458272 | Trail Creek Wellness PC | Family Medicine | 1001 Hospital Cir, Kingfisher, OK 73750-5002 | 2018-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155386 | Jami Grantz | General Acute Care Hospital | 1000 Kingfisher Reg Hosp Dr, Kingfisher, OK 73750 | 2016-06-15 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1245544246 | Amber Lisette Davis | Occupational Therapist | 500 S. 9th Street, Kingfisher, OK 73750 | 2010-08-02 |
| 1881921310 | Diane Marie Minnis | Dietitian, Registered | 1000 Kingfisher Regional Hospital Dr, Kingfisher, OK 73750 | 2009-11-04 |
| 1366694663 | Shea Nicole Krablin | Speech-Language Pathologist | 401 West Bowman, Kingfisher, OK 73750 | 2008-10-17 |
| 1073719209 | Nathan Kelly Brown | Dentist | 2302 S Frontage Rd, Kingfisher, OK 73750 | 2007-06-25 |
| 1992849996 | Kingfisher Dental Pllc | Dentist | 2302 S. Frontage Rd, Kingfisher, OK 73750 | 2007-02-16 |
| 1942385075 | Ltrx Inc. | Pharmacy | 1308 S. Main Street, Kingfisher, OK 73750 | 2006-10-26 |
| 1497841175 | Gary E Palmer | Chiropractor | 723 S. Main Street, Kingfisher, OK 73750 | 2006-10-04 |
| 1356302947 | Bridget A. Keast | Physician Assistant | 1002 Hospital Drive, Kingfisher, OK 73750 | 2006-03-31 |
| Find all providers in zip 73750 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154378644 | Robin L Matson | Family Medicine | 1100 Hospital Cir, Kingfisher, OK 73750-5001 | 2006-05-28 |
| 1518458272 | Trail Creek Wellness PC | Family Medicine | 1001 Hospital Cir, Kingfisher, OK 73750-5002 | 2018-05-29 |
| 1851780183 | Kingfisher Clinic Pllc | Family Medicine | 1100 Hospital Cir, Kingfisher, OK 73750-5001 | 2015-01-09 |
| 1437190972 | Stephen Arthurs | Family Medicine | 1100 Hospital Cir, Kingfisher, OK 73750-5001 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | KINGFISHER |
| Zip Code | 73750 |
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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.