Geoffrey Mark Fortner is a Indianapolis, Indiana based neurologist who is specialized in Neurology. Active license number of Geoffrey Mark Fortner is 01056568A for Neurology in Indiana. His current practice location is 7165 Clearvista Way, Indianapolis. Patients can reach him at 317-621-5100. Geoffrey Mark Fortner is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1669569059.
Geoffrey Mark Fortner specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Geoffrey Mark Fortner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Geoffrey Mark Fortner |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | M.D. |
| Practice Address: | 7165 Clearvista Way, Indianapolis,
Indiana, 46256 |
| Phone: | 317-621-5100 |
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: | 1669569059 |
| NPI Enumeration Date: | 06 Oct, 2006 |
| NPI Last Update On: | 27 Nov, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Geoffrey Mark Fortner are as mentioned below.
| License Number | Specialization | State | Status | |
| 01056568A | Neurology | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Geoffrey Mark Fortner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200505110 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Geoffrey Mark Fortner
6626 E 75th St Ste 500,
Indianapolis, Indiana |
| Zip: | 46250-2890 |
Patients can reach Geoffrey Mark Fortner at
7165 Clearvista Way, Indianapolis, Indiana or can
call to book an appointment on 317-621-5100.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.