Active NPI
Forte Hospitalist Services, LLC
- Hospitalist Physician
- Carbondale, IL
National Provider Identifier
1124463401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036091188
- Legal business name
- FORTE HOSPITALIST SERVICES, LLC
- Practice address
- 2250 N. Illinois Ave.
Carbondale, IL 62901 - Phone
- (618) 833-1691
- Fax
- (618) 861-5302
- NPI assigned
- May 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caleb Sutton
- Title
- Business Operations Manager
- Phone
- (618) 833-1691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036091188 | IL | Primary |
Addresses
Primary practice location
2250 N. Illinois Ave.
Carbondale, IL 62901
Mailing address
2250 N. Illinois Ave.
Carbondale, IL 62901
Phone (618) 833-1691
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515024000000",
"number": "1124463401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 N. ILLINOIS AVE.",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "62901",
"telephone_number": "618-833-1691",
"fax_number": "618-861-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 N. ILLINOIS AVE.",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "62901",
"telephone_number": "618-833-1691",
"fax_number": "618-861-5302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTE HOSPITALIST SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2018-01-04",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "CALEB",
"authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
"authorized_official_telephone_number": "618-833-1691"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "IL",
"license": "036091188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.