Dr. Grady Reynolds Fort
M.D. | Pediatrics | Male
Dr. Grady Reynolds Fort, M.D. is a Livingston, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Grady Reynolds Fort is
1140 Main St, Livingston Medical Group, Livingston, California - 95334-1257. He can be contacted on phone at
209-394-7913.
Dr. Grady Reynolds Fort is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Grady Reynolds Fort is
1982765582 which was assigned by NPPES on 13 Dec, 2006 and it was last updated on 02 Sep, 2017.
Dr. Grady Reynolds Fort license number is
G27353 for Pediatrics (208000000X) in California.
Dr. Grady Reynolds Fort is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Grady Reynolds Fort basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Grady Reynolds Fort |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Grady Reynolds Fort address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1140 Main St, Livingston Medical Group
Livingston, CA, 95334-1257
United States |
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| Phone Number : | 209-394-7913 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982765582 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Dec, 2006 |
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| Last Updated On : | 02 Sep, 2017 |
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Medicare Participation:
Dr. Grady Reynolds Fort participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2163522863 |
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| Medicare Enrollment ID : | I20070710001031 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of California, San Francisco School Of Medicine |
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| Graduation Year : | 1972 |
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| Accepts Medicare? | Yes. Dr. Grady Reynolds Fort accepts medicare insurance. |
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Group Practice Association:
Dr. Grady Reynolds Fort is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Grady Reynolds Fort is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Mccloud Healthcare Clinic, Inc. | 3779494919 | 8 | 4309 Stagecoach Rd
Dunsmuir, CA - 960251812
Ph: 5309642389 | Yes |
| Mccloud Healthcare Clinic, Inc. | 3779494919 | 8 | 116 W Minnesota Ave
Mccloud, CA - 960571443
Ph: 5302354138 | Yes |
| Mccloud Healthcare Clinic, Inc. | 3779494919 | 8 | 824 Pine St
Mount Shasta, CA - 960672137
Ph: 5309264528 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Grady Reynolds Fort are as mentioned. Primary taxonomy code for Dr. Grady Reynolds Fort, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | G27353 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 116 W. Minnesota Ave
Mccloud, CA, 96057
United States |
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| Phone Number : | 530-964-2389 |
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Business Location:
Patients can refer following map for directions to
Dr. Grady Reynolds Fort practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.