Fortunato R Macatol, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

35035999 Issued in OH

Practice address

401 Matthew St
Marietta, OH 45750-1635

Phone

(740) 374-1499

Fax

(740) 374-1766

NPI assigned

Dec 15, 2006

Last updated

Feb 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fortunato.macatol@mmhs.medicity.net

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.

• Fortunato R Macatol

  • Anatomic Pathology & Clinical Pathology Physician
  • Marietta, OH
  • NPI 1245412402
  Authorized official Same address or phone
• Matthew J Macatol MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Marietta, OH
  • NPI 1356587109
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1891857728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-374-8790",
            "fax_number": "740-374-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-374-1499",
            "fax_number": "740-374-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACATOL",
        "first_name": "FORTUNATO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35035999",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WV",
            "license": "15831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524561",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102187000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leann Lynn Lucas, CDCA
• Walter William Lyman, CDCA
• Amanda Lynch
• Lynn Corpman Services, LLC
• Micayla Lyons
• Matthew J Macatol, M.D.
• Christina D Maciver
• Joseph Alexander Mack, MD
• Amado Gabriel Maijub, M.D., PHD
• Molly Erin Malone-Prioleau, D.O.

• Anatomic Pathology & Clinical Pathology Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.