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Russell Fornator, CCP
NPI 1033247481 · Specialist · Phoenix, AZ
Russell Fornator, CCP is a Specialist provider in Phoenix, AZ (NPI 1033247481).
Provider details
- NPI number
- 1033247481
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10930 N Tatum Blvd
#103
Phoenix, AZ 85028-6069
Phone: (602) 263-7600
Fax: (602) 212-0365
Street-level locationGet directions
Mailing address
10930 N Tatum Blvd
Phoenix, AZ 85028-6069
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Russell Fornator's NPI number?
- Russell Fornator's National Provider Identifier (NPI) is 1033247481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Fornator's specialty?
- Russell Fornator is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Russell Fornator located?
- Russell Fornator's practice location on file with NPPES is 10930 N Tatum Blvd, Phoenix, AZ 85028-6069.
- What is Russell Fornator's phone number?
- The practice phone number listed in the NPPES registry for Russell Fornator is (602) 263-7600.
- Is Russell Fornator's NPI active?
- Yes — Russell Fornator's NPI (1033247481) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.