Joseph Richard Forster, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

17-561

Practice address

9790 66TH St N Lot 293
Pinellas Park, FL 33782-2814

Phone

(614) 403-0400

NPI assigned

Jun 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1104443191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337800521",
            "telephone_number": "614-403-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9790 66TH ST N LOT 293",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822814",
            "telephone_number": "614-403-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTER",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "17-561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Fluellen, M.S.
• Martha S Folsom, ARNP
• Kathryn Ann Ford, BA, MS
• Sharon Marcia Forman-Kress, MSW
• Julie Forman
• Heather Forsythe
• Lauren Forsythe, ARNP
• Jessica Foster, D.P.T.
• Cole Foust, RBT
• Robert Evans Foxworthy II

• Surgical Assistant in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.