DR. DOUGLAS LEE FOERTSCH (NPI# 1619932357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619932357 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS LEE FOERTSCH |
| Credential | MD |
| Practice Address |
721 W 13th St #222 Jasper IN 47546 |
| Practice Telephone | 8126342737 |
| Practice Fax Number | 8124824558 |
| Mailing Telephone | 8126342737 |
| Mailing Fax Number | 8124824558 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01031809A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS KENTUCKY | 000000045145 | 01 |
| IN | 100089380 | 05 | |
| RAILROAD MEDICARE | 340000600 | 01 | |
| IN | ANTHEM BLUE CROSS | 000000080275 | 01 |
| Street Address |
721 W 13TH ST #222 |
| City | JASPER |
| State | IN |
| Zip Code | 47546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977337 | Cindy L Casey | Radiology | 721 W 13th St, Jasper, IN 47546-1817 | 2005-07-22 |
| 1154789436 | Richard Moss Md | Clinic/Center | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2016-02-02 |
| 1427424910 | April Susnjara | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-08-19 |
| 1336530500 | Nicole Nale | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-02-10 |
| 1457786501 | Allyson Mudd | Nurse Practitioner | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-09-09 |
| 1427482074 | Evan B Hurst, Md, Internal Medicine, PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-08-29 |
| 1427481852 | Kristen El-houjairy | Nurse Practitioner | 721 W 13th St, Suite 325, Jasper, IN 47546-1855 | 2013-08-21 |
| 1275974255 | Krystle Susan Hahus | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-07-08 |
| 1881031821 | Lindsey Taylor | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-05-31 |
| 1285973016 | Ann B Patterson Md PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1811187420 | Kristopher Harper Gunn | Urology | 600 W 13th St, Suite 105, Jasper, IN 47546-1881 | 2007-07-30 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1639281595 | Peter Strom Selikoff | Urology | 6610 Curry Hwy, Jasper, AL 35503-5664 | 2006-08-31 |
| 1811940679 | Alan Clayton Mccool | Urology | 3400 Highway 78 E Ste 412, Jasper, AL 35501-8952 | 2006-05-19 |
| 1457506172 | Bhc-jasper Urology Associates | Urology | 3400 Highway 78 E, Suite 412, Jasper, AL 35501-8907 | 2008-11-21 |
| 1235354424 | Georgia Urology Pa | Urology | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2007-04-15 |
| 1427134147 | Sequatchie Valley Urology LLC | Urology | 1000 Highway 28, Jasper, TN 37347-3638 | 2006-10-27 |
| 1417051590 | Joel A Rosenfeld | Urology | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2006-09-11 |
| 1235241100 | James Owen Moon | Urology | 3400 Highway 78 E, 412 Medical Arts Tower, Jasper, AL 35501-8907 | 2006-08-31 |
| Find all providers in JASPER | ||||
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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.