Forward Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORWARD MEDICAL LLC

Practice address

11000 N Scottsdale Rd Ste 250
Scottsdale, AZ 85254-5270

Phone

(480) 900-4294

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Sachin Diddee

Title

Member

Phone

(480) 900-4294

Specialties & licenses 1

Addresses

Other names 1

• AZ ADHD CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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

• Jeanette Anuddin Cruz, M.D.

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1891971628
  Medicare reassignment NPD
• Nathan Bradley Payne, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1073948550
  Medicare reassignment

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1285467696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545270",
            "telephone_number": "480-900-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545270",
            "telephone_number": "480-900-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "DIDDEE",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-900-4294"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ ADHD CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Fortino
• Fortis Lab Management, LLC.
• Mirinisa Fortunato, COTA
• Fortune Vein Clinic
• Robert Lloyd Fortune, M.D.
• Alison Foster-Goldman, MD
• Deanna Foster, RMHCI
• Jon O. Foster, ATC, OTC
• Lillian Huili Foster, DNP,NP-C,PMHNP-C
• Torrey C Foster, PT DPT CSCS

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.