Individual provider Active NPI

Tamra N Fortenberry, M.D.

  • Obstetrics & Gynecology Physician
  • Arlington, TX
National Provider Identifier
1326264714
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N0024 Issued in TX
Practice address
515 W Mayfield #200
Arlington, TX 76014
Phone
(817) 468-4689
Fax
(817) 465-7872
NPI assigned
Apr 17, 2007
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N0024 TX Primary

Addresses

Primary practice location

515 W Mayfield #200
Arlington, TX 76014

Mailing address

515 W Mayfield #200
Arlington, TX 76014

Other practice location 1

3141 E Broad St, Ste 321
Mansfield, TX 76063
Phone (817) 468-4689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080915000230 TX Practitioner - Obstetrics/Gynecology 5193891265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical City OB-GYN, PLLCGroup PAC ID 3476808411, 60 clinicians

Practice addresses (Care Compare)

515 W Mayfield Rd
Suite 200
Arlington, TX 76014-4596
Phone (817) 468-4689

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0024TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical City OB-GYN, PLLC Obstetrics & Gynecology CurrentSince Feb 14, 2018 Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3201 Matlock Rd
Ste 210
Arlington, TX 76015
Phone (817) 419-2598

3970 N Collins St
Ste 168
Arlington, TX 76005
Phone (682) 305-2867

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

2805 S Mayhill Rd
Denton, TX 76208
Phone 9405916700257

3141 E Broad St
Ste 321
Mansfield, TX 76063
Phone (817) 375-5847

Interoperability endpoints

  • Direct secure messaging: tamra.fortenberry@hca7.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1326264714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD #200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD #200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 E Broad St, Ste 321",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "76063",
            "country_code": "US",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "TAMRA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N0024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.