NPIMap

Individual provider Active NPI

Ryan Robert Fortna, M.D., PHD

  • Anatomic Pathology Physician
  • Bellingham, WA
National Provider Identifier
1811052855
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MD60131035 Issued in WA
Practice address
3614 Meridian St
Suite 100
Bellingham, WA 98225-1748
Phone
(360) 734-2800
Fax
(360) 734-3818
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD60131035 WA
Anatomic Pathology Physician 207ZP0101X MD60131035 WA Primary

Addresses

Primary practice location

3614 Meridian St
Suite 100
Bellingham, WA 98225-1748

Mailing address

3560 Meridian St Ste 101
Bellingham, WA 98225-1731
Phone (360) 734-2800

Other practice location 1

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400

Other practice location 2

3548 Meridian St Ste 101
Bellingham, WA 98225-1710
Phone (360) 734-2800

Other identifiers 2

IdentifierTypeStateIssuer
MD60131035OtherWAMEDICAL LICENSE
MEDS7006OtherAKMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OK, TX, UT4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100909001247 WA Practitioner - Pathology 7214052539 Reassigns benefits to 1 organization
I20240117002792 OK Practitioner - Pathology 7214052539 Reassigns benefits to 1 organization
I20240904002705 TX Practitioner - Pathology 7214052539 Reassigns benefits to 1 organization
I20250708003317 UT Practitioner - Pathology 7214052539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Pittsburgh School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattison Pathology, LLPGroup PAC ID 6204721467, shared by 2 NPIs, 3 clinicians
Northwest Pathology PLLCGroup PAC ID 4587553318, 7 clinicians

Practice addresses (Care Compare)

1800 Renaissance Blvd
Suite L100
Edmond, OK 73013-3023
Phone (877) 232-9924

3560 Meridian St
Suite 101
Bellingham, WA 98225-1731
Phone (360) 734-2800

3614 Meridian St
Suite 100
Bellingham, WA 98225-1748
Phone (360) 734-2800

4642 N Loop
289 Suite 205
Lubbock, TX 75039-3035
Phone (866) 987-7284

Hospital & facility affiliations

  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60131035WAMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Experts Inc CurrentSince Jun 1, 2025 Accepting new patients
Mattison Pathology, L.L.P. CurrentSince Jun 16, 2024 Accepting new patients
Mattison Pathology, L.L.P. CurrentSince Dec 9, 2023 Accepting new patients
Mattison Pathology LLP CurrentSince Dec 9, 2023 Accepting new patients
Neurocode USA Inc. CurrentSince Aug 10, 2021 Accepting new patients
Mattison Pathology, L.L.P. Current Accepting new patients
Northwest Pathology PLLC Dermatopathology PastSince Nov 1, 2020 Accepting new patients
Acupath Inc Past Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

1800 Renaissance Blvd
Ste L100
Edmond, OK 73013
Phone (866) 987-7284

4245 N Central Expy
Ste 420
Dallas, TX 75205
Phone (469) 232-9920

6221 Riverside Dr
Ste 119
Irving, TX 75039
Phone (469) 232-9920

4642 N Loop 289
Ste 205
Lubbock, TX 79416
Phone (806) 771-1352

410 N Utica Ave
Lubbock, TX 79416
Phone (806) 687-7284

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

3560 Meridian St
Ste 101
Bellingham, WA 98225
Phone (360) 543-6844

Interoperability endpoints

  • Direct secure messaging: ryan.fortna@nwp.direct.kno2fy.com

Organizations & group practices 9

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1811052855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 MERIDIAN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251731",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251748",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-734-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3548 Meridian St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251710",
            "country_code": "US",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTNA",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WA",
            "license": "MD60131035",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WA",
            "license": "MD60131035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD60131035",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MEDS7006",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.