Active NPI
Erik Martin Forbord, CRNA
- Certified Registered Nurse Anesthetist
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704221165
- Practice address
- 401 West Greenlawn Avenue
Lansing, MI 48910 - Phone
- (517) 377-8225
- Fax
- (517) 372-5006
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704221165 | MI | Primary |
Addresses
Primary practice location
401 West Greenlawn Avenue
Lansing, MI 48910
Mailing address
401 West Greenlawn Avenue
Lansing, MI 48910
Phone (517) 377-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704221165 | Other | MI | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Sparrow Eaton Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Charlotte, MI
- NPI 1043419427
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
-
- Certified Registered Nurse Anesthetist
- Charlotte, MI
- NPI 1205035698
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144313784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WEST GREENLAWN AVENUE",
"city": "LANSING",
"state": "MI",
"postal_code": "48910",
"telephone_number": "517-377-8225",
"fax_number": "517-372-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WEST GREENLAWN AVENUE",
"city": "LANSING",
"state": "MI",
"postal_code": "48910",
"telephone_number": "517-377-8225",
"fax_number": "517-372-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBORD",
"first_name": "ERIK",
"middle_name": "MARTIN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704221165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "4704221165",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.