Mark Elias Fortenberry, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

282 Issued in AR

Practice address

10201 Kanis Rd
Little Rock, AR 72205-6203

Phone

(501) 227-3800

Fax

(501) 907-9750

NPI assigned

Mar 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Arkansas Otolaryngology Center, P.a.

  • Otolaryngology Physician
  • Little Rock, AR
  • NPI 1164449500
  Medicare reassignment NPD
• Arkansas Otolaryngology Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1093795031
  NPD

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1487824900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-3800",
            "fax_number": "501-907-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-3800",
            "fax_number": "501-907-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "MARK",
        "middle_name": "ELIAS",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487824900",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Forshee, LMSW
• Judith Forte, MD
• Kevin F Forte, M.D.
• Cameron Blake Fortenberry, PTA
• Emma Barkley Fortenberry, PA-C
• Shay M Fortune, MS, CCC-SLP
• Reggie Eric Fossette
• Beverly Jean Foster, D.C.
• Cameron Foster
• Claire Chesshir Foster, MD, MPH

• Audiologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.