FORTSON FAMILY CARE AND WELLNESS CENTER (D L FORTSON M D P C) NPI 1184710428

Family Medicine in Munster, IN

NPI 1184710428 Organization Family Medicine

About FORTSON FAMILY CARE AND WELLNESS CENTER (D L FORTSON M D P C)

Fortson Family Care And Wellness Center (d L Fortson M D P C) is a primary care provider established in Munster, Indiana specializing in family medicine. The NPI number of Fortson Family Care And Wellness Center (d L Fortson M D P C) is 1184710428 and was assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 01037803 (IN). The provider is registered as an organization and their NPI record was last updated 14 years ago. Fortson Family Care And Wellness Center (d L Fortson M D P C) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Fortson Family Care And Wellness Center. The authorized official of this NPI record is Darryl L Fortson M D (President & Ceo)

A primary care provider (PCP) like Fortson Family Care And Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1184710428

Provider NameFORTSON FAMILY CARE AND WELLNESS CENTER (D L FORTSON M D P C)
Provider Location Address1950 45TH AVE SUITE 100 MUNSTER, IN 46321
Provider Mailing Address1950 45TH AVE SUITE 100 MUNSTER, IN 46321
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFORTSON FAMILY CARE AND WELLNESS CENTER
Other Name TypeDoing Business As (3)
Enumeration Date10-05-2006
Last Update Date12-03-2007


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.01037803
License StateIN
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

FORTSON FAMILY CARE AND WELLNESS CENTER
1950 45TH AVE
SUITE 100
MUNSTER, IN
ZIP 46321
Phone: (219) 924-9277
Fax: (219) 924-9281

Get Directions


Mailing Address

FORTSON FAMILY CARE AND WELLNESS CENTER
1950 45TH AVE
SUITE 100
MUNSTER, IN
ZIP 46321
Phone: (219) 924-9277
Fax: (219) 924-9281



Authorized Official

Authorized Official Name DARRYL L FORTSON M D
Authorized Official TitlePRESIDENT & CEO
Authorized Official Phone(219) 924-9277

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
223280AMEDICARE ID-TYPE UNSPECIFIED (04)IN
F43433MEDICARE UPIN (02)IN
000000359839OTHER (01)IN

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073564605CENTER FOR SPECIALTY SURGERY
Organization
Clinic/Center (Ambulatory Surgical)1950 45TH AVE
MUNSTER, IN 46321
(219) 922-5100
1982770160 CHARLES LEO TREMAINE MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 924-6544
1881743920LORIN M. BROWN, M.D. P.C.
Organization
Specialist1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 924-6544
1700079837MR. JOHN JOSEPH DOHERTY P.T., A.T.C.
Individual
Physical Therapist (Sports)1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 922-8188
1104195593MISS RACHEAL MARIE SMITH ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE
MUNSTER, IN 46321
(219) 924-7316
1720357049 DANIELLE PILLON ATC
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 922-8188
1396015996 CHRIS DOUGLAS HALL ATC, MED
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE
MUNSTER, IN 46321
(219) 922-8188
1366635393 LIU ANN SCHOEN PT
Individual
Physical Therapist1950 45TH AVE
MUNSTER, IN 46321
(219) 922-8188
1003009044MR. PATRICK MICHAEL OHAVER ATC
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 922-8188

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.