DR. LAURA K FORTNER (NPI# 1710973508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710973508 |
Entity Type | Individual |
Full Name | DR. LAURA K FORTNER |
Practice Address |
1615 Maple Ln Suite 1 Ashland WI 54806-3610 |
Mailing Address |
400 East Third Street Essentia Health Duluth Clinic Mcl2cred Duluth MN 55805-1951 |
Practice Telephone | 7156857500 |
Practice Fax Number | 7156822481 |
Mailing Telephone | 2187863146 |
Mailing Fax Number | 2187228792 |
Enumeration Date | 2005-09-27 |
Last Update Date | 2017-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 35077776 | OH | Other Service Providers |
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
65672 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2169442 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134648702 | Laura Fortner | Music Therapist | 16620 40th Ave N, Plymouth, MN 55446-2687 | 2017-09-15 |
1295151884 | Laura Fortner | Doula | 3310 Live Oak St, Suite 201, Dallas, TX 75204-6153 | 2014-03-07 |
Street Address |
1615 MAPLE LN SUITE 1 |
City | ASHLAND |
State | WI |
Zip Code | 54806-3610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679185029 | Jacqueline Marie Grimm | Social Worker | 1615 Maple Ln, Ashland, WI 54806-3689 | 2020-08-18 |
1669097358 | Kelsey E Larson | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2020-06-09 |
1003440967 | Barbara E Jusula | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3626 | 2020-02-28 |
1841853611 | Paul Michael Kasper | Physician Assistant | 1615 Maple Ln, Ashland, WI 54806-3626 | 2019-04-17 |
1770047235 | Ashley Elizabeth Runge | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2019-01-29 |
1093220089 | Thomas William Jorgensen | Nurse Anesthetist, Certified Registered | 1615 Maple Ln, Ashland, WI 54806-3626 | 2017-12-12 |
1033664719 | Melissa Jean Malmberg | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2016-08-23 |
1922488279 | Jenelle Elza | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3610 | 2015-06-02 |
1811329006 | David L Mischel | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2013-07-30 |
1467894154 | Memorial Medical Center Inc | Non-Pharmacy Dispensing Site | 1615 Maple Ln, Ashland, WI 54806-3610 | 2013-07-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
Find all providers in zip 54806 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134293533 | John Charles Rogers Md Ltd | Obstetrics & Gynecology | 3738 S 60th St Ste 102, Milwaukee, WI 53220-1935 | 2006-11-17 |
1669948790 | Ashley Elkins | Obstetrics & Gynecology | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2018-10-16 |
1639520414 | Lauren Isabel Useem | Obstetrics & Gynecology | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2016-06-23 |
1992071377 | Kelly Kennedy | Obstetrics & Gynecology | 1818 N Meade St, Suite 330, Appleton, WI 54911-3454 | 2012-03-29 |
1003132267 | Emily Linklater | Obstetrics & Gynecology | 403 Stageline Rd, Hudson, WI 54016-7848 | 2010-04-13 |
1881836484 | Allison Marie Nelson | Obstetrics & Gynecology | 1111 Delafield Street, Suite 311, Waukesha, WI 53188-3407 | 2009-03-27 |
1174720759 | Morgan Leigh Barnum | Obstetrics & Gynecology | 403 Stageline Rd, Hudson, WI 54016-7848 | 2007-06-28 |
1821216276 | St Clare Memorial Hospital, Inc | Obstetrics & Gynecology | 835 S Main St, Suite 2, Oconto Falls, WI 54154-1282 | 2007-04-23 |
1194828442 | Holy Family Memorial Inc | Obstetrics & Gynecology | 600 York St, Manitowoc, WI 54220-6845 | 2006-09-05 |
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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.