Vincent P. Fortunato in Saint Louis - Internal Medicine
Vincent P. Fortunato - NPI 1174508436
Vincent P. Fortunato is a Internal Medicine in Saint Louis, Missouri. Vincent P. Fortunato practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Vincent P. Fortunato is 1174508436. The last update date is 2020-08-28.
Vincent P. Fortunato's current location address is 10004 Kennerly Rd, Saint Louis, Missouri. You can contact this provider via phone number 3148435140 and fax number 3148438010. The mailing address for Vincent P. Fortunato is 10004 Kennerly Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vincent P. Fortunato |
|---|---|
| Address | 10004 Kennerly Rd, Saint Louis, Missouri |
| Phone Number | 3148435140 |
| Fax Number | 3148438010 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174508436 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2020-08-28 |
Provider Mailing Address Detail
| Address | 10004 Kennerly Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631282141 |
| Phone Number | 3148435140 |
| Fax Number | 3148438010 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | R1J64 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110080662 | MO | RAILROAD MEDICARE | |
| 206760100 | MO | -- | |
| 431650657 | MO | CIGNA HEALTHCARE | |
| 21532 | MO | BLUE CROSS | |
| 9499441 | MO | UNITED HEALTHCARE | |
| 173933 | MO | HEALTHLINK | |
| 4084340 | MO | AETNA |
Post Comment/ Review Below
What is the Vincent P. Fortunato's unique identification number?
The Vincent P. Fortunato has been assigned the NPI (National Provider Identifier) Number 1174508436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Vincent P. Fortunato?
The Vincent P. Fortunato is physically situated at 10004 Kennerly Rd, in the city of Saint Louis, state of MO, with the postal code 631282141.
What is Vincent P. Fortunato's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Vincent P. Fortunato is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Vincent P. Fortunato receive the assignment of its 1174508436 from the Centers for Medicare & Medicaid Services?
The Vincent P. Fortunato was issued its 1174508436 by the Centers for Medicare & Medicaid Services on 2005-12-09.
As of what date were the details related to Vincent P. Fortunato most recently updated or revised?
The information pertaining to Vincent P. Fortunato, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY