Organization Active NPI

William Forsythe, DO, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kennewick, WA
National Provider Identifier
1003143652
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
WILLIAM FORSYTHE, DO, PLLC
Practice address
8656 W Gage Blvd Ste A106
Kennewick, WA 99336-1150
Phone
(509) 366-2108
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Charles Forsythe, DONPI 1982643565
Title
Owner
Phone
(509) 460-1065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X

Addresses

Primary practice location

8656 W Gage Blvd Ste A106
Kennewick, WA 99336-1150

Mailing address

8656 W Gage Blvd Ste A106
Kennewick, WA 99336-1150
Phone (509) 366-2108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100507000719 WA Part B Supplier - Clinic/Group Practice 7012058720 Receives reassigned benefits from 5 practitioners
Practice locations: Kennewick, WA; Pasco, WA; Richland, WA
O20240305003192 MT Part B Supplier - Clinic/Group Practice 7012058720 Receives reassigned benefits from 2 practitioners
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

2502 Galen Dr
Champaign, IL 61821

2810 Great Northern Loop
Missoula, MT 59808
Phone (509) 460-1065

1031 N Kellogg St
Kennewick, WA 99336
Phone (509) 460-1065

7139 W Hood Pl
Ste 101
Kennewick, WA 99336
Phone (509) 735-7880

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1003143652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8656 W GAGE BLVD STE A106",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361150",
            "telephone_number": "509-366-2108",
            "fax_number": "217-355-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8656 W GAGE BLVD STE A106",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361150",
            "telephone_number": "509-366-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM FORSYTHE, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-460-1065",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.