DR. PETER LAWRENCE FORT (NPI# 1932191319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932191319 |
Entity Type | Individual |
Full Name | DR. PETER LAWRENCE FORT |
Credential | M.D. |
Practice Address |
777 Hospital Way Ste 202 Pocatello ID 83201-5175 |
Mailing Address |
777 Hospital Way # 202 Pocatello ID 83201-5175 |
Practice Telephone | 2082392640 |
Mailing Telephone | 2082392640 |
Enumeration Date | 2005-08-22 |
Last Update Date | 2018-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
M-13839 | ID | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
16668 | NV | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
8823A | WY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE RR | P00003518 | 01 |
FL | 259252500 | 05 | |
FL | BCBS | 49343 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942356720 | Peter Anthony Fort | Chiropractor | 4540 Southside Blvd Ste 1101, Jacksonville, FL 32216-5495 | 2007-01-26 |
Street Address |
777 HOSPITAL WAY STE 202 |
City | POCATELLO |
State | ID |
Zip Code | 83201-5175 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
Find all providers in zip 83201 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497766240 | Pocatello Pulmonary PC | Internal Medicine | 500 S 11th Ave, Suite 305, Pocatello, ID 83201-4835 | 2006-08-10 |
1972563310 | Steven M Krawtz | Internal Medicine | 500 S 11th Ave, Suite 305, Pocatello, ID 83201-4835 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407124753 | Idaho Falls Pulmonary Sleep & Critical Care Specialists | Internal Medicine | 2442 E 25th St, Idaho Falls, ID 83404-7549 | 2011-12-01 |
1831423557 | Idagem Services Inc | Internal Medicine | 1533 N Milwaukee St, Ste 321, Boise, ID 83704-8471 | 2009-09-28 |
1417102930 | Joshua David Holweger | Internal Medicine | 1075 N Curtis, Ste 200, Boise, ID 83706-1350 | 2008-11-25 |
1659407716 | Richard Keith Oehlschlager | Internal Medicine | 3036 Lakewood Way, Boise, ID 83706-5240 | 2007-02-25 |
1194861534 | Richard J Robinson | Internal Medicine | 700 West Ironwood Drive, Suite 336, Coeur D'alene, ID 83814-4485 | 2007-01-30 |
1013946391 | Janat E. O'donnell | Internal Medicine | 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 | 2006-06-30 |
1528002029 | Ronald F Fullmer | Internal Medicine | 570 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-06-15 |
1932169042 | Cary V. Jackson | Internal Medicine | 401 E Hawaii, Nampa, ID 83686 | 2006-03-23 |
1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
1073027389 | Jordan Joseph Cormier | Internal Medicine | 2330 Desoto St, Idaho Falls, ID 83404-7570 | 2017-11-22 |
Find all providers with the same taxonomy |
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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.