Mark E Fortenberry (NPI# 1487824900, PAC ID# 3173690740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1487824900 |
| PAC ID by PECOS | 3173690740 |
| Professional Enrollment ID | I20080923000715 |
| Full Name | Mark E Fortenberry |
| Organization Legal Name | ARKANSAS OTOLARYNGOLOGY CENTER PA |
| Address |
10201 Kanis Rd Little Rock AR 72205-6203 |
| Phone Number | 5012215050 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 9234113853 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10201 Kanis Rd, Little Rock, AR 72205-6203 | 5012215050 | ARKANSAS OTOLARYNGOLOGY CENTER PA |
| Organization Legal Name | ARKANSAS OTOLARYNGOLOGY CENTER PA |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sommer E Ballard | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 1715 W Main St, Heber Springs, AR 72543-2835 |
| Michael A Mcghee | Otolaryngology | Arkansas Otolaryngology Center Pa | 2305 Springhill Rd, Suite 8, Bryant, AR 72019-7560 |
| Grover H Hutson | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Meredith A Dilley | Allergy/immunology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Adrian Williamson | Otolaryngology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Jason A Smith | Otolaryngology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Leslie B Stansell | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Korrine E Cope | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Carla S Easter | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Aaron M Metrailer | Otolaryngology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Street Address |
10201 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72205-6203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grover H Hutson | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Meredith A Dilley | Allergy/immunology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Adrian Williamson | Otolaryngology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Jason A Smith | Otolaryngology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Leslie B Stansell | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Korrine E Cope | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Carla S Easter | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Aaron M Metrailer | Otolaryngology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Jamie E Bizzell | Otolaryngology | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Jenifer J Loar | Nurse Practitioner | Arkansas Otolaryngology Center Pa | 10201 Kanis Rd, Little Rock, AR 72205-6203 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Marie Cossey | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Paula J Sargent | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| David P Dean | General Surgery | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Octavio Herrera-verdugo | Vascular Surgery | 1225 Breckenridge Dr, Suite 110, Little Rock, AR 72205-1565 | |
| Charlotte Chapple | Certified Registered Nurse Anesthetist (crna) | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | |
| William L Rutledge | General Practice | 9712 W Markham St, Little Rock, AR 72205-2124 | |
| Victor B Williams | General Surgery | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| Ralonda Greer | Certified Clinical Nurse Specialist (cns) | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| James A Washburn | Podiatry | 10020 W Markham St, Little Rock, AR 72205-2130 | |
| Stephen L Clark | Psychologist, Clinical | Living Hope Southeast LLC | 10025 W Markham St, Suite 210, Little Rock, AR 72205-2178 |
| Find all physicians in zip 72205 | |||
| City | LITTLE ROCK |
| Zip Code | 72205 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | LITTLE ROCK + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Mark E Fortenberry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.