FORT MEDICAL GROUP WHITEWATER – Internal Medicine Physician, NPI 1679632004

FORT MEDICAL GROUP WHITEWATER is a healthcare provider. based in Whitewater, Wisconsin. specializing in Internal Medicine Physician. The NPI Number for FORT MEDICAL GROUP WHITEWATER is 1679632004

Main info

Organization
Inactive
Name
FORT MEDICAL GROUP WHITEWATER
NPI
1679632004
Phone
(262) 473-4081
Address
1461 W MAIN ST
Deactivation Date
7 October 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness80
Years active:0State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for FORT MEDICAL GROUP WHITEWATER

  • 1461, West Main Street, Whitewater, Walworth County, Wisconsin, 53190, United States

    WHITEWATER, WI 531901568

    Phone: (262) 473-4081

    Fax: (262) 473-7705

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53190)

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Frequently asked questions

Can I verify FORT MEDICAL GROUP WHITEWATER with an NPI only?
You can start verification with NPI 1679632004 for FORT MEDICAL GROUP WHITEWATER, then check state licensing separately.
What dates should I check for FORT MEDICAL GROUP WHITEWATER's activity?
We display what the registry publishes: FORT MEDICAL GROUP WHITEWATER appears inactive there.
What is FORT MEDICAL GROUP WHITEWATER's primary classification?
Internal Medicine Physician is the headline specialty for FORT MEDICAL GROUP WHITEWATER here. Clinical services aligned with this taxonomy classification.
What address line appears for FORT MEDICAL GROUP WHITEWATER?
FORT MEDICAL GROUP WHITEWATER's geographic hint is Whitewater, Wisconsin in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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