JOSEPH D FORTIN (NPI# 1841292612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841292612 |
| Entity Type | Individual |
| Full Name | JOSEPH D FORTIN |
| Credential | D.O. |
| Practice Address |
9502 Lima Road Ste 103 Fort Wayne IN 46818-9270 |
| Mailing Address |
9502 Lima Road Suite 103 Fort Wayne IN 46818-9270 |
| Practice Telephone | 2604597313 |
| Practice Fax Number | 2604360628 |
| Mailing Telephone | 2604597313 |
| Mailing Fax Number | 2604360628 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 02001553A | IN | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
02001553A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | 250008768 | 01 |
| IN | 200024910A | 05 |
| Street Address |
9502 LIMA ROAD STE 103 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-9270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839689 | Stephen James Hatch | Pain Medicine | 10228 Dupont Circle Dr E, Fort Wayne, IN 46825-1611 | 2006-02-09 |
| 1649628553 | Kenny Joe Wallen | Pain Medicine | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2016-06-01 |
| 1164661054 | Interventional Pain Consultants, LLC | Pain Medicine | 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 | 2009-02-17 |
| 1295905529 | Spine Technology and Rehabilitation PC | Pain Medicine | 3898 New Vision Dr, Suite B, Fort Wayne, IN 46845-1718 | 2008-03-03 |
| 1891768537 | George David Bojrab | Pain Medicine | 10228 Dupont Circle Dr E, Fort Wayne, IN 46825-1611 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176087 | Pg Pro LLC | Pain Medicine | 4715 Statesmen Dr Ste Ab, Indianapolis, IN 46250-5642 | 2020-08-25 |
| 1942818109 | Advanced Pain Treatment of Chicago Sc | Pain Medicine | 1950 45th St Ste 101, Munster, IN 46321-3958 | 2020-07-14 |
| 1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
| 1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
| 1982185641 | Midwest Pain Institute Center for Minimally Invasive Spine PC | Pain Medicine | 7301 N Shadeland Ave Ste 1a, Indianapolis, IN 46250-2085 | 2018-08-22 |
| 1679088405 | Advanced Pain Care Clinic Psc | Pain Medicine | 5320 Weston Rd, Evansville, IN 47712-3701 | 2017-12-01 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1366987513 | Gary Gettelfinger Md Dabpm LLC | Pain Medicine | 1619 N Prairie Green Ct, Bloomington, IN 47408-8701 | 2016-12-27 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1801938642 | Michael G. Cassaro, Md, Psc | Pain Medicine | 200 Missouri Ave, Suite B, Jeffersonville, IN 47130-3061 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
Please comment or provide details below to improve the information on JOSEPH D FORTIN.
| 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.