Gary Dee Fortner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12540 Issued in OK

Practice address

1408 N Florence Ave
Claremore, OK 74017-3159

Phone

(918) 341-1044

Fax

(918) 341-7443

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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 OK

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

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Claremore Health Associates, IncGroup PAC ID 0840214904, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Claremore Health Associates Inc

  • Family Medicine Physician
  • Claremore, OK
  • NPI 1982722195
  Medicare reassignment Care Compare group
• Claremore Health Assoication, Inc.

  • Family Medicine Physician
  • Claremore, OK
  • NPI 1326341132
  NPD
• Ahs Claremore Regional Hospital, LLC.

  • General Acute Care Hospital
  • Claremore, OK
  • NPI 1023398807
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1891768289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173159",
            "telephone_number": "918-341-1044",
            "fax_number": "918-341-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173159",
            "telephone_number": "918-341-1044",
            "fax_number": "918-341-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "GARY",
        "middle_name": "DEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "12540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100150500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyshaan Allen Forbes
• Melanie Ford, LMSW-US
• Lenetta Foreman, BSW, MS
• Suzanne Lynn Forsberg, RD, LD, CDE
• Carrie Fortna
• Brent Foster, PT
• Foundations Behavioral Health, LLC
• Foutz Chiropractic, PLLC
• Tina L Foutz, D.C.
• Abigail Hogle Fowler, O.D.

• Family Medicine Physician in Claremore, OK
• Providers in Claremore, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.