DR. MICHAEL FORTGANG M.D.
NPI 1255349700
Specialist in Danbury, CT
NPI Status: Active since August 03, 2006
Contact Information
36 TAMARACK AVE
PBM 118
DANBURY, CT
ZIP 06811
Phone: (203) 739-7532
Fax: (203) 743-2610
- Individual
- Male
- Specialist
About MICHAEL FORTGANG
This page provides the complete NPI Profile along with additional information for Michael Fortgang, a provider established in Danbury, Connecticut with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1255349700 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number 027366 (CT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1255349700
- Provider Name
- DR. MICHAEL FORTGANG M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 36 TAMARACK AVE PBM 118 DANBURY, CT 06811
- Location Phone
- (203) 739-7532
- Location Fax
- (203) 743-2610
- Mailing Address
- 230 SAUGATUCK AVE WESTPORT, CT 06880
- Mailing Phone
- (203) 739-7532
- Mailing Fax
- (203) 743-2610
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 027366
- License State
- CT
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D80878 | MEDICARE UPIN (02) | CT |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 4 | 9 | 7 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 4 | 18 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 4 + 1 + 8 + 7 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255349700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255349700, enumerated in the NPI registry as an "individual" on August 03, 2006
The provider is located at 36 Tamarack Ave Pbm 118 Danbury, Ct 06811 and the phone number is (203) 739-7532
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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