Active NPI
Richard M Forster
- Anesthesiology Physician
- St Charles, IL
National Provider Identifier
1073529855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 336025170
- Practice address
- 2210 Dean St
St Charles, IL 60175-1066 - Phone
- (630) 584-9800
- Fax
- (630) 584-9805
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 336025170 | IL | Primary |
Addresses
Primary practice location
2210 Dean St
St Charles, IL 60175-1066
Mailing address
2320 Dean St Ste 103
St Charles, IL 60175-1068
Phone (630) 377-0106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336025170 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Ambulatory Surgery Center, LP | Current | Accepting new patients |
Locations
2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- St Charles, IL
- NPI 1104819424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1073529855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 DEAN ST STE 103",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751068",
"telephone_number": "630-377-0106",
"fax_number": "630-377-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 DEAN ST",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751066",
"telephone_number": "630-584-9800",
"fax_number": "630-584-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSTER",
"first_name": "RICHARD",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "336025170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.