Fortier Gynecology PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

FORTIER GYNECOLOGY PLLC

Practice address

2301 Rexwoods Dr Ste 114
Raleigh, NC 27607-3366

Phone

(919) 916-3333

Fax

(984) 293-6615

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Joseph Fortier, MDNPI 1821258518

Title

Member-Manager

Phone

(919) 612-1102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Kenneth Joseph Fortier, M.D.

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
  • NPI 1821258518
  Medicare reassignment NPD Authorized official
• Amy Pike

  • Adult Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1366760159
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1407579022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HALES WOOD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177228",
            "telephone_number": "919-612-1102",
            "fax_number": "919-914-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR STE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-916-3333",
            "fax_number": "984-293-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIER GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "FORTIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "919-612-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alfred Fort
• Carl Lee Forte
• Carla Forte, LCSW, LCAS
• Elizabeth Marie Fortener, P.T.
• Kailey Alexa Forth, MD
• Kenneth Joseph Fortier, M.D.
• Teresa M. Fortner, M.O.T. OTR L
• Nicole C Fortune, MSW
• Forward Speech and Language Therapy, PLLC
• Mikayla Foskey

• Gynecology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.