Janis Suzann Forch, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1385 Issued in AZ

Practice address

7615 W Thunderbird Rd
Ste 106
Peoria, AZ 85381-6083

Phone

(623) 773-2273

Fax

(623) 773-2274

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: janis.forchpac.p1@direct.nextcare.nextgenshare.com

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.

• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071

  AZ

  Medicare reassignment Care Compare group
• Nextcare Arizona LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1043371826

  AZ

  Medicare reassignment
• Goodyear Urgent Care LLC

  • Urgent Care Clinic/Center
  • Goodyear, AZ
  • NPI 1851566285
  NPD (past)
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614
  NPD (past)
• Palo Verde Family Medicine PLLC

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1417222969
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1376981092
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1477818730
  NPD (past)
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1710239082
  NPD (past)
• Tri-City Express Care, PLLC

  • Urgent Care Clinic/Center
  • Tolleson, AZ
  • NPI 1750728523
  NPD (past)
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1962580118
  NPD (past)
• We Care Urgent Care Centers PLLC

  • Urgent Care Clinic/Center
  • Peoria, AZ
  • NPI 1093034589
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1174500581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9609",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159609",
            "telephone_number": "623-773-2273",
            "fax_number": "623-773-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W THUNDERBIRD RD",
            "address_2": "STE 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816083",
            "telephone_number": "623-773-2273",
            "fax_number": "623-773-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCH",
        "first_name": "JANIS",
        "middle_name": "SUZANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Alan Folson, DDS
• Foothills Sports Medicine & Physical Therapy - 91St Ave-Olive
• Foothills Sports Medicine & Rehabilitation- Peoria, Inc
• Foothills Sports Medicine and Rehabilitation, LLC.
• Jaimie D Forbes, MSPT
• Fornara Eye Care
• Christina A Foster, PA-C
• Nastaran Foughani, DMD
• Foundation for Dignity Care LLC
• Jessica Marie Fowler

• Medical Physician Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.