FORT HEALTHCARE INC
NPI 1417993361
Otolaryngology in Fort Atkinson, WI

Q: What is Fort Healthcare Inc's NPI number?

The NPI number for Fort Healthcare Inc is 1417993361. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider was formerly known as Fort Atkinson Memorial Health Services.

Q: What is Fort Healthcare Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since June 21, 2006

611 SHERMAN AVE E, FORT ATKINSON, WI 53538(920) 563-6667(920) 563-0145 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fort Healthcare Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT HEALTHCARE INC (NPI 1417993361), doing business as Fort Atkinson Memorial Health Services, is a healthcare organization registered as an otolaryngology in Fort Atkinson, Wisconsin and active in the NPI registry since June 2006. The organization lists Shelby Walling, Payer Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1417993361

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameFORT HEALTHCARE INC

Location Address611 SHERMAN AVE EFort Atkinson, WI 53538-1960

Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 563-6580 · Fax (920) 568-4004

Phone(920) 563-6667

Fax(920) 563-0145

Organization SubpartNo

Authorized OfficialShelby WallingPayer Credentialing Specialist · (920) 563-4466

Enumeration DateJune 21, 2006

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1417993361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

611 SHERMAN AVE E, Fort Atkinson, WI 53538

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Other Names 1

Former Legal Business NameFort Atkinson Memorial Health Services

Other Identifiers 17

Medicaid21273900WI

Medicaid21274000WI

Other000000491Medicare Ptan

Medicaid21273800WI

Medicaid21274200WI

Medicaid21274600WI

Medicaid21274500WI

Medicaid21279400WI

Medicaid11011900WI

Medicaid21274300WI

Medicaid21274900WI

Medicaid21275700WI

Medicaid21274100WI

Medicaid21274800WI

Other52D0392916WI · Clia

Medicaid42237700WI

Medicaid21274700WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans, Quartz.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE L POPPY APNP

Nurse Practitioner