GREGORY J FORTIN M.D. NPI 1295707487

NPI Information

NPI: 1295707487
Provider Name: GREGORY J FORTIN, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
5020 W BRISTOL RD
FLINT, MI
ZIP 48507
Phone: (810) 732-1620
Get Directions

Gregory J Fortin, M.D. is a vascular surgery surgery in Flint, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Gregory J Fortin, M.D. NPI is 1295707487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5020 W BRISTOL RD
FLINT, MI
ZIP 48507-919
Phone: (810) 732-1620
Fax: (810) 732-8559

The NPI 1295707487 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 11/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	GF048390	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0210222032	OTHER	MICHIGAN	HEALTHPLUS OF MICHIGAN
2	105381	OTHER	MICHIGAN	CARE CHOICE HMO
3	109241	OTHER	MAINE	GREAT LAKES HEALTH PLAN
4	C1986	OTHER	MICHIGAN	M-CARE
5	B56060007	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
6	2607980	MEDICAID	MICHIGAN
7	0202532841	OTHER	MICHIGAN	BC/BS OF MICHIGAN
8	204107	OTHER	MICHIGAN	MCLAREN HEALTH PLAN/ADVAN
9	B63761	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
10	105381	OTHER	MICHIGAN	PREFERRED CHOICE PPO
11	B63761	MEDICARE UPIN	MICHIGAN
12	4294605	OTHER	MICHIGAN	AETNA
13	382237803112	OTHER	MICHIGAN	COMMUNITY CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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