Jayne S Fortson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

AA2600 Issued in AK

Legal business name

JAYNE S FORTSON, MD

Practice address

2401 E 42ND Ave
Ste 301
Anchorage, AK 99508-5205

Phone

(907) 563-3204

Fax

(907) 563-4283

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jayne S Fortson, M.D.NPI 1932170297

Title

Owner

Phone

(907) 563-3204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

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

• Jayne S Fortson, M.D.

  • Dermatology Physician
  • Anchorage, AK
  • NPI 1932170297
  Medicare reassignment Care Compare group NPD Authorized official
• Fiona Jae Teilborg, PA-C

  • Dermatology Physician
  • Anchorage, AK
  • NPI 1609742246
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1114998473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085205",
            "telephone_number": "907-563-3204",
            "fax_number": "907-563-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085205",
            "telephone_number": "907-563-3204",
            "fax_number": "907-563-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYNE S FORTSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "FORTSON",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-563-3204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AK",
            "license": "AA2600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jay
• Debra Jay, LMT
• Tabi Jayd, RN
• Margaret Jayich, MD
• Steven A Jayich, M.D.
• JC Faith Open Arms
• JC Faith Open Arms #1
• JC Faith Open Arms 1
• JC Faith Open Arms 3
• Devin A Jean-Marie

• Dermatology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.