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Fort Healthcare Inc

NPI 1417993361ActiveOrganization· Otolaryngology· Fort Atkinson, WI

Otolaryngology in Fort Atkinson, Wisconsin, registered in NPPES in June 2006. The authorized official on file is Shelby Walling, Payer Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1417993361
StatusActive
Entity typeOrganization
NPI issuedJun 21, 2006
Last updated in NPPESJun 11, 2026
Certified by providerJun 11, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Otolaryngology Primary207Y00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other otolaryngologists in Fort Atkinson

All otolaryngologists in Wisconsin