Dr James Forrestal Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2309 Issued in OK

Legal business name

DR JAMES FORRESTAL INC

Practice address

830 16TH Ave NW
Ardmore, OK 73401-1818

Phone

(580) 226-5120

Fax

(580) 223-1003

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Forrestal Inc, DO

Title

Owner

Phone

(580) 226-5120

Specialties & licenses 1

Addresses

Practitioners 2

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

• James Forrestal, DO

  • Family Medicine Physician
  • Ardmore, OK
  • NPI 1285611160
  NPD
• Heather Lea Moiser, APRN-CNP

  • Family Nurse Practitioner
  • Ardmore, OK
  • NPI 1457790974
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1376641712",
    "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": {
        "organization_name": "DR JAMES FORRESTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "FORRESTAL   INC",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-226-5120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Shanna Dougherty
• Sara Doughty
• Crystal Douglas, BHRS
• Dr Connie M Wilson PLLC
• Dr G W Clay P C
• Dr R G Patzkowsky PC (Doctors Clinic)
• James B Drain, C. PED.
• Loree Dresser
• Justin Cole Druskis, PA-C
• Loren Duck

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.