Leonard E Forrest, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

16939 Issued in SC

Practice address

1106 Chuck Dawley Blvd
Suite 200
Mt Pleasant, SC 29464-4183

Phone

(800) 741-6920

NPI assigned

Dec 9, 2005

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1205811544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DOZIER BLVD",
            "address_2": "SUITE 100",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014090",
            "telephone_number": "843-669-5162",
            "fax_number": "843-667-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CHUCK DAWLEY BLVD",
            "address_2": "SUITE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "800-741-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "LEONARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "16939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169392",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANDARD TAX ID",
            "identifier": "320058385",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Meyer Ford, LPC
• Kaitlin Ford, PT
• Forefront Dermatology, S.C. (Germain Dermatology, A Forefront Dermatology Practice)
• Forge Health, LLC (Forge)
• Ginny Forney
• Peter Scott Forrester, PA-C
• Fort Sumter Surgical Clinic
• Nicholas Forte, M.ED, ED.S
• Rebecca M Fosberry
• Debbie Foshee, MCD, CCC-SLP

• Physical Medicine & Rehabilitation Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.