Active NPI
Frank Fortier, PA-C
- Physician Assistant
- Alexandria, VA
National Provider Identifier
1922230994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110001280
- Practice address
- 8101 Hinson Farm Rd
Alexandria, VA 22306-3403 - Phone
- (703) 765-4321
- NPI assigned
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110001280 | VA | Primary |
Addresses
Primary practice location
8101 Hinson Farm Rd
Alexandria, VA 22306-3403
Mailing address
8926 Woodyard Rd
Suite 701
Clinton, MD 20735-4220
Phone (301) 856-1682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024354 | Other | NCCPA CERTIFICATION # | |
| 0110001280 | Other | VIRGINIA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110001280 | VA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1922230994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8926 WOODYARD RD",
"address_2": "SUITE 701",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354220",
"telephone_number": "301-856-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 HINSON FARM RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063403",
"telephone_number": "703-765-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTIER",
"first_name": "FRANK",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATION #",
"identifier": "1024354",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA LICENSE",
"identifier": "0110001280",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.