Individual provider Active NPI

Craig William Fortman, D.O.

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1073889903
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-011726 Issued in OH
Practice address
2030 Stringtown Rd Ste 210
Grove City, OH 43123-3993
Phone
(614) 544-0050
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 34.011726 OH
Family Medicine Physician 207Q00000X 34-011726 OH Primary

Addresses

Primary practice location

2030 Stringtown Rd Ste 210
Grove City, OH 43123-3993

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102

Other practice location 1

375 W Main St
Lexington, OH 44904-9543
Phone (419) 520-3500

Other identifiers 1

IdentifierTypeStateIssuer
0126633MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfortman8342@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002961 OH Practitioner - Family PracticePractitioner - Sports Medicine 5193961878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

2030 Stringtown Rd
Grove City, OH 43123-3993
Phone (614) 486-2000

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Ohiohealth Corporation CurrentSince Aug 13, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 13, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

2030 Stringtown Rd
Ste 210
Grove City, OH 43123
Phone (614) 328-5582

2030 Stringtown Rd
Ste 200
Grove City, OH 43123
Phone (614) 544-0054

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

375 W Main St
Lexington, OH 44904
Phone (419) 520-3500

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

2180 Stumbo Rd
Ontario, OH 44906
Phone (419) 756-4004

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1073889903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 STRINGTOWN RD STE 210",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233993",
            "telephone_number": "614-544-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "OH",
            "postal_code": "449049543",
            "country_code": "US",
            "telephone_number": "419-520-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTMAN",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.011726",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-011726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126633",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfortman8342@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2030 Stringtown Rd",
            "address_2": "Ste 200",
            "city": "Grove City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431233993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.