KEITH FORTIER M.D. NPI 1740390053

NPI Information

  • NPI: 1740390053
  • Provider Name: KEITH FORTIER, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 594 COPENHAGEN RD
    WATERFORD, VT
    ZIP 05819
  • Phone: (802) 748-8573

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NPI Details

Keith Fortier, M.D. is an obstetrics gynecology in Waterford, VT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Keith Fortier, M.D. NPI is 1740390053. 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:

594 COPENHAGEN RD
WATERFORD, VT
ZIP 05819-055
Phone: (802) 748-8573
Fax: (707) 734-8573

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/28/2010.

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
1207V00000XObstetrics & Gynecology042-0006155VERMONTYes

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
10007981MEDICAIDVERMONT
2B85467MEDICARE UPINVERMONT
3VT7981MEDICARE ID-TYPE UNSPECIFIEDVERMONT

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: 11/21/2025

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