Forum Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORUM FAMILY MEDICINE PC

Practice address

14001 E Iliff Ave
Ste 109
Aurora, CO 80014-1405

Phone

(303) 996-1020

Fax

(303) 751-4514

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laurence Richard Tormohlen Jr., MDNPI 1275529802

Title

Managing Partner

Phone

(303) 996-1020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Laurence Richard Tormohlen Jr., MD

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1275529802
  Medicare reassignment Care Compare group NPD Authorized official
• Phillip D Quintana, MD

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1447246079
  Medicare reassignment Care Compare group NPD
• Michelle Jean Foster, PA-C

  • Physician Assistant
  • Englewood, CO
  • NPI 1265831473
  Medicare reassignment
• Emily Good, PA-C

  • Physician Assistant
  • Aurora, CO
  • NPI 1538803572
  Medicare reassignment
• Melissa L Chik, PAC

  • Medical Physician Assistant
  • Aurora, CO
  • NPI 1659524973
  NPD (past)
• Emily Elizabeth Clark

  • Physician Assistant
  • Centennial, CO
  • NPI 1932781440
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1114116274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE",
            "address_2": "STE 109",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141405",
            "telephone_number": "303-996-1020",
            "fax_number": "303-751-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE",
            "address_2": "STE 109",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141405",
            "telephone_number": "303-996-1020",
            "fax_number": "303-751-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "TORMOHLEN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-996-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Fortino, RN
• Richard Ernest Fortunato
• Fortune Home Care Agency LLC
• Fortune Home Care Agency LLC
• Teagan Fortune
• Emily Fosdick, PA
• Lisa Fosnot, MD
• Ruth Foss, M.D.
• Audrey Delgross Foster, NP
• Caitlin Elise Foster, MD

• Family Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.