John L Forsythe, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E9635 Issued in TX

Practice address

2300 Highway 365 Ste 230
Nederland, TX 77627-6283

Phone

(409) 722-0808

Fax

(409) 722-4422

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Home Health Home health agency, Nederland, TX, CCN 679237
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532

  Single Specialty

  Medicare reassignment Care Compare group NPD
• John L. Forsythe, M.D.P.a

  • Family Medicine Physician
  • Nederland, TX
  • NPI 1912951179

  Single Specialty

  Medicare reassignment NPD Authorized official
• Susan K Craig M D P a

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1811941040

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Texas Health Care Group of the Golden Triangle, LLC

  • Home Health Agency
  • Nederland, TX
  • NPI 1578673786
  Care Compare affiliation

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1326047457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 230",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276283",
            "telephone_number": "409-722-0808",
            "fax_number": "409-722-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 230",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276283",
            "telephone_number": "409-722-0808",
            "fax_number": "409-722-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E9635",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E9635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264582-07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER#",
            "identifier": "8AJ013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVIDUAL PROVIDER #",
            "identifier": "P00382814",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "8F3051",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Fitzgerald, DDS
• John Paul Flanagan Jr.
• Ford & Hefner, D.D.S., L.L.P.
• Chad Lance Ford, D.D.S.
• Emma Forsythe
• Frederick E. Quirante, DPM
• Roxane Gillam Freeman
• Bridgette Nichole Friday
• John Tsukuru Fukuda
• Leticia Sue Garcia, D.D.S.

• Family Medicine Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.