Dr. Donald J Fornace DO Facc Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DR. DONALD J FORNACE DO FACC INC

Practice address

1184 Ocean Shore Blvd
Ormond Beach, FL 32176-3760

Phone

(386) 441-6636

Fax

(386) 441-6680

NPI assigned

Aug 6, 2012

Last updated

Aug 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald J Fornace, DONPI 1669494480

Title

Physician

Phone

(386) 441-6636

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Joseph Fornace, DO FACC

  • Cardiovascular Disease Physician
  • Ormond Beach, FL
  • NPI 1669494480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1003163320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 OCEAN SHORE BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321763763",
            "telephone_number": "386-441-6636",
            "fax_number": "386-441-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 OCEAN SHORE BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321763760",
            "telephone_number": "386-441-6636",
            "fax_number": "386-441-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DONALD J FORNACE DO FACC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "FORNACE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-441-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048431800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Campbell Douglass III, MD
• Jason Downes
• Aryana B Downs
• Rebekah Elisabeth Doyle, PA
• Dr Michael Edward Townsend MD PA
• Dr. Jason Iannarelli P.a. (Dr. Eye)
• Dawn Nicole Dragone, RD
• Daniel Raymond Drake, D.D.S.
• Dmitry Aleks Drapach, DO
• Dream Life Legacy, Inc. (Seniors Helping Seniors)

• Cardiovascular Disease Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.