NPIMap

Organization Active NPI

Forward Medical Weight Loss LLC

  • Health Service Clinic/Center
  • Germantown, WI
National Provider Identifier
1114356029
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3690-033 Issued in WI
Legal business name
FORWARD MEDICAL WEIGHT LOSS LLC
Practice address
N112W15568 Mequon Rd # 6
Germantown, WI 53022-3413
Phone
(262) 313-8375
Fax
(262) 255-1482
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Lindsay Ann Carmody, APNP
Title
Apnp
Phone
(414) 350-6807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3690-033 WI Primary

Addresses

Primary practice location

N112W15568 Mequon Rd # 6
Germantown, WI 53022-3413

Mailing address

N112W15568 Mequon Rd # 6
Germantown, WI 53022-3413
Phone (262) 313-8375

National Provider Directory

National Provider Directory
Tax ID family
Forward Healthy Lifestyles3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

N112W15568 Mequon Rd
#6
Germantown, WI 53022
Phone (262) 313-8375

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1114356029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W15568 MEQUON RD # 6",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223413",
            "telephone_number": "262-313-8375",
            "fax_number": "262-255-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W15568 MEQUON RD # 6",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223413",
            "telephone_number": "262-313-8375",
            "fax_number": "262-255-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD MEDICAL WEIGHT LOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "APNP",
        "authorized_official_telephone_number": "414-350-6807",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "3690-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.