James Forrestal, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2309 Issued in OK

Practice address

830 16TH Ave NW
Ardmore, OK 73401-1818

Phone

(580) 226-5120

Fax

(580) 223-1003

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

Yes

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 OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dr James Forrestal Inc

  • Family Medicine Physician
  • Ardmore, OK
  • NPI 1376641712
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1285611160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 16TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011818",
            "telephone_number": "580-226-5120",
            "fax_number": "580-223-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 16TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011818",
            "telephone_number": "580-226-5120",
            "fax_number": "580-223-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTAL",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117700",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chastine Ford
• Jacquelyn Richelle Ford
• Kendra Janell Ford, LMFT
• Kristy Dawn Ford, MS
• Benjamin Baker Fore, DO
• Kaden Forsythe, PTA
• Caroline Lillian Foster
• Cole Foster
• Ernest Byron Foster II, M.D.
• Meagan Rachelle Fowler

• Family Medicine Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.