Jairo A Fortich (NPI# 1104867381, PAC ID# 9638100282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1104867381 |
| PAC ID by PECOS | 9638100282 |
| Professional Enrollment ID | I20120703000210 |
| Full Name | Jairo A Fortich |
| Organization Legal Name | SOUTHERN MEDICAL PARTNERS, LLC |
| Address |
240 Hospital Rd Whitesburg KY 41858-7627 |
| Phone Number | 6066333505 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8123923679 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180020 | MIDDLESBORO ARH HOSPITAL |
| 180002 | WHITESBURG ARH HOSPITAL |
| 440156 | PARKRIDGE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3600 Cumberland Ave, Middlesboro, KY 40965-2614 | 6062371700 | MIDDLESBOROUGH EMERGENCY PHYSICIANS LLC |
| 240 Hospital Rd, Whitesburg, KY 41858-7627 | 6066333505 | SOUTHERN MEDICAL PARTNERS, LLC |
| Organization Legal Name | SOUTHERN MEDICAL PARTNERS, LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Adams | Emergency Medicine | Southern Medical Partners, LLC | 9879 Ky Route 122, Mc Dowell, KY 41647-6026 |
| Daniel C Holt | Family Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Chandan Sahay | Internal Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Benjamin M Risner | Family Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Korrapati S Reddy | Internal Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Joshua Aaron Kadetz | Family Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Kevin W Brinker | Family Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Randall W Walters | Emergency Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Nirav R Patel | Family Medicine | Southern Medical Partners, LLC | 9879 Ky Route 122, Mc Dowell, KY 41647-6026 |
| James Combs | Emergency Medicine | Southern Medical Partners, LLC | 80 Hospital Dr, Barbourville, KY 40906-7363 |
| Street Address |
240 HOSPITAL RD |
| City | WHITESBURG |
| State | KY |
| Zip | 41858-7627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Allen Lindsey | Emergency Medicine | Southern Medical Partners, LLC | 240 Hospital Rd, Whitesburg, KY 41858-7627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debbie K Williams | Optometry | 19 Solomon Rd, Whitesburg, KY 41858-7201 | |
| Randal Joseph Rabon | Ophthalmology | Johnson City Eye Clinic PC | 19 Solomon Rd, Whitesburg, KY 41858-7201 |
| Joshua Jerrett Busscher | Ophthalmology | Johnson City Eye Clinic PC | 19 Solomon Rd, Whitesburg, KY 41858-7201 |
| William M Collins | Family Medicine | 109 E Main St, Whitesburg, KY 41858-7351 | |
| Nathan W Baker | Obstetrics/gynecology | Mountain Comprehensive Health Corporation | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 |
| Myra Lynn Kelly | Nurse Practitioner | Mountain Comprehensive Health Corporation | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 |
| Heather Yates | Nurse Practitioner | Mountain Comprehensive Health Corporation | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 |
| Megan C Fuller | Pediatric Medicine | Mountain Comprehensive Health Corporation | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 |
| Mahmood Alam | Pulmonary Disease | Mountain Comprehensive Health Corporation | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 |
| April Hall | Internal Medicine | Mountain Comprehensive Health Corporation | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 |
| Find all physicians in zip 41858 | |||
| City | WHITESBURG |
| Zip Code | 41858 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WHITESBURG + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jairo A Fortich.
| 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.