Kyle Fredrick Fort (NPI# 1578559696, PAC ID# 4183526155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1578559696 |
| PAC ID by PECOS | 4183526155 |
| Professional Enrollment ID | I20041001000389 |
| Full Name | Kyle Fredrick Fort |
| Organization Legal Name | RONCEVERTE PHYSICIAN GROUP LLC |
| Address |
202 Maplewood Ave Ronceverte WV 24970-1334 |
| Phone Number | 3046474411 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3072652767 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510002 | GREENBRIER VALLEY MEDICAL CENTER |
| 510070 | RALEIGH GENERAL HOSPITAL |
| 511322 | |
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 302 Carriage Dr, Beckley, WV 25801-2812 | 3046475642 | RONCEVERTE PHYSICIAN GROUP LLC |
| 306 Carriage Dr, Beckley, WV 25801-2812 | 3046475642 | RONCEVERTE PHYSICIAN GROUP LLC |
| 100 Taylor Ln, Ronceverte, WV 24970-1337 | 3046476559 | RONCEVERTE PHYSICIAN GROUP LLC |
| 118 Taylor Ln, Ronceverte, WV 24970-1337 | 3046450870 | RONCEVERTE PHYSICIAN GROUP LLC |
| 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 3046476559 | RONCEVERTE PHYSICIAN GROUP LLC |
| 1322 Maplewood Ave, Ronceverte, WV 24970-8016 | 3047932574 | RONCEVERTE PHYSICIAN GROUP LLC |
| 1521 Maplewood Ave, Ronceverte, WV 24970-8026 | 3046475642 | RONCEVERTE PHYSICIAN GROUP LLC |
| 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 3046474411 | RONCEVERTE PHYSICIAN GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 87% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 96% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 10% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | RONCEVERTE PHYSICIAN GROUP LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie D Green | Nurse Practitioner | Ronceverte Physician Group LLC | 9745 Seneca Trail, Lewisburg, WV 24901-1580 |
| James P Dehaven | Orthopedic Surgery | Ronceverte Physician Group LLC | 176 Dawkins Dr, Lewisburg, WV 24901-9302 |
| Ramsey Behnam | Internal Medicine | Ronceverte Physician Group LLC | 100 Taylor Ln, Ronceverte, WV 24970-1337 |
| Jefferson Patrick Casto | General Surgery | Ronceverte Physician Group LLC | 229 Dawkins Dr, Lewisburg, WV 24901-9674 |
| Emily Griffith | Orthopedic Surgery | Ronceverte Physician Group LLC | 176 Dawkins Dr, Lewisburg, WV 24901-9302 |
| Joseph Mouchizadeh | Urology | Ronceverte Physician Group LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Christopher L White | Otolaryngology | Ronceverte Physician Group LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Erin Dale Burns | Physician Assistant | Ronceverte Physician Group LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Gary Frank Roberts | Cardiovascular Disease (cardiology) | Ronceverte Physician Group LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Ashley Rapp Parker | General Surgery | Ronceverte Physician Group LLC | 229 Dawkins Dr, Lewisburg, WV 24901-9674 |
| Street Address |
202 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip | 24970-1334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather J Rose | Diagnostic Radiology | 202 Maplewood Ave, Lewisburg, WV 24901-9739 | |
| Joseph Mouchizadeh | Urology | Ronceverte Physician Group LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Steven Clark Gottshall | Certified Registered Nurse Anesthetist (crna) | Greenbrier Valley Anesthesia LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Hannah Charis Sparks | Certified Registered Nurse Anesthetist (crna) | Greenbrier Valley Anesthesia LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Christopher L White | Otolaryngology | Ronceverte Physician Group LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Janith S Dehaven | Certified Registered Nurse Anesthetist (crna) | Greenbrier Valley Anesthesia LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Michael Bilger | Certified Registered Nurse Anesthetist (crna) | Greenbrier Valley Anesthesia LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| John Theron Casto | Anesthesiology | Greenbrier Valley Anesthesia LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| David Maki | Diagnostic Radiology | Valley Imaging Consultants Inc. | 202 Maplewood Ave, Greenbrier Valley Medical Center, Ronceverte, WV 24970-1334 |
| Yelena V Johnson | Certified Registered Nurse Anesthetist (crna) | Greenbrier Valley Anesthesia LLC | 202 Maplewood Ave, Ronceverte, WV 24970-1334 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista N Adams | Optometry | 3942 David Stuart Rd, Suite 1, Ronceverte, WV 24970 | |
| Gerald M Erskine | Podiatry | 8878 Seneca Trail S, Ronceverte, WV 24970 | |
| Travis L Mcclintic | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Mary E Mcclintic | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Stephanie Friel | Occupational Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Daniel Davis | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Amanda Mcguire | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Susan M Leatherman | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Shawna R Hatley | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Jillian E Seldomridge | Qualified Speech Language Pathologist | Greenbrier Valley Physical Therapy and Fitness LLC | 3942 Davis Stuart Rd, Suite 3, Ronceverte, WV 24970-0269 |
| Find all physicians in zip 24970 | |||
| City | RONCEVERTE |
| Zip Code | 24970 |
| Specialty | UROLOGY |
| City + Specialty | RONCEVERTE + UROLOGY |
Please comment or provide details below to improve the information on Kyle Fredrick Fort.
| 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.