Fortune Vein Clinic

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

13540 Issued in AZ

Legal business name

FORTUNE VEIN CLINIC

Practice address

7125 E Lincoln Dr
Suite B109
Scottsdale, AZ 85253-4429

Phone

(480) 991-2100

Fax

(480) 991-2102

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lloyd Fortune, MDNPI 1922098375

Title

Managing Employee

Phone

(480) 991-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Lloyd Fortune, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Scottsdale, AZ
  • NPI 1922098375
  NPD (past) Authorized official

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114912698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 E LINCOLN DR",
            "address_2": "SUITE B109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534429",
            "telephone_number": "480-991-2100",
            "fax_number": "480-991-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 E LINCOLN DR",
            "address_2": "SUITE B109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534429",
            "telephone_number": "480-991-2100",
            "fax_number": "480-991-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE VEIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORTUNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "480-991-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "13540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Christian Forte
• Shannon Fortin Ensign, M.D.
• Lisa Fortino
• Fortis Lab Management, LLC.
• Mirinisa Fortunato, COTA
• Robert Lloyd Fortune, M.D.
• Forward Medical LLC
• Alison Foster-Goldman, MD
• Deanna Foster, RMHCI
• Jon O. Foster, ATC, OTC

• Vascular Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.