Kevin Forsythe MD Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A96098 Issued in CA

Legal business name

KEVIN FORSYTHE MD INC

Practice address

1111 Las Tablas Road Suite R
Templeton, CA 93465-3742

Phone

(805) 286-4416

Fax

(888) 216-9538

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Kevin C Forsythe, MDNPI 1346272812

Title

President

Phone

(805) 952-5723

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin C Forsythe, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Templeton, CA
  • NPI 1346272812
  Medicare reassignment Care Compare group Authorized official
• Sarah Ep Forsythe, M.D.

  • Family Medicine Physician
  • Templeton, CA
  • NPI 1265435622
  Medicare reassignment Care Compare group NPD
• Robert W.E. Fry, M.D.

  • Orthopaedic Surgery Physician
  • Templeton, CA
  • NPI 1679738504
  NPD

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265727309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS ROAD SUITE R",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934653742",
            "telephone_number": "805-286-4416",
            "fax_number": "888-216-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS ROAD SUITE R",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934653742",
            "telephone_number": "805-286-4416",
            "fax_number": "888-216-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN FORSYTHE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-952-5723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A96098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF PASO ROBLES BUSINESS LICENSE",
            "identifier": "10507",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE CORPORATION NUMBER",
            "identifier": "C3375536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Kathryn Keith, NP
• Erin Lynn Kellogg, MSAT, ATC
• Julie Marie Kelly, PA
• Libby A Kerr, RN BSN CDE
• Meg Ketchum, NP
• Kidney Dialysis Center of Templeton,LLC
• Chang S. Kim, MD
• Kinetix PT, Inc.
• Jennifer L King, PA-C
• Loren Bruce Kirk, D.D.S.

• Sports Medicine (Orthopaedic Surgery) Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.