Formfire, LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

FORMFIRE, LLC

Practice address

1360 E 9TH St
Suite 850
Cleveland, OH 44114-1737

Phone

(216) 357-7400

NPI assigned

Apr 17, 2014

Organization subpart

No

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

Authorized official

Name

Michael Epp

Title

Co-Founder / Ceo

Phone

(216) 502-2320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1043630015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E 9TH ST",
            "address_2": "SUITE 850",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141737",
            "telephone_number": "216-357-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E 9TH ST",
            "address_2": "SUITE 850",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141737",
            "telephone_number": "216-357-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMFIRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-FOUNDER / CEO",
        "authorized_official_telephone_number": "216-502-2320"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forgotten Faces
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• Angela Formanik, DPT
• Samantha Formosa
• Jennifer Forney, ACNP-BC
• Michael Carl Forney, M.D.
• Ali Foroutan, MD
• Patricia Forrai, R.N.

• Supports Brokerage Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Supports Brokerage Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.