GREGORY J. FORTIN M.D. – NPI #1295707487
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

GREGORY FORTIN is a surgeon located in FLINT, MI. NPPES has assigned the NPI number 1295707487 to GREGORY FORTIN on February 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 19 years ago on Nov 27, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREGORY FORTIN below.

NPI Profile for
GREGORY J. FORTIN

NPI Number
1295707487
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GREGORY J. FORTIN
Credentials
M.D.
Primary location
5020 W BRISTOL RD
FLINT, MI 48507-2919
Phone: (810) 732-1620 Fax: (810) 732-8559
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for GREGORY FORTIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMI4294605
OTHERBC/BS OF MICHIGANMI0202532841
OTHERCARE CHOICE HMOMI105381
OTHERCOMMUNITY CHOICEMI382237803112
OTHERGREAT LAKES HEALTH PLANME109241
OTHERHEALTH ALLIANCE PLANMIB63761
OTHERHEALTHPLUS OF MICHIGANMI0210222032
OTHERM-CAREMIC1986
OTHERMCLAREN HEALTH PLAN/ADVANMI204107
OTHERPREFERRED CHOICE PPOMI105381
MEDICAIDMI2607980
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
MI GF048390

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.