Active NPI
Christine Forszpaniak Inc
- Specialist
- Naples, FL
National Provider Identifier
1396703369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 49793
- Legal business name
- CHRISTINE FORSZPANIAK INC
- Practice address
- 848 1St Ave N
Suite 230
Naples, FL 34102-6013 - Phone
- (239) 434-7779
- Fax
- (239) 434-7588
- NPI assigned
- May 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Forszpaniak, M.D.
- Title
- President
- Phone
- (239) 434-7779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 49793 | FL | Primary |
Addresses
Primary practice location
848 1St Ave N
Suite 230
Naples, FL 34102-6013
Mailing address
848 1St Ave N
Suite 230
Naples, FL 34102-6013
Phone (239) 434-7779
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064785300 | Medicaid | FL | |
| 110050893 | Other | FL | RAIL ROAD MEDICARE |
| DN646A | Other | FL | MEDICARE |
| P1107159 | Other | FL | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
848 1st Ave N
Ste 230
Naples, FL 34102
Phone (239) 434-7779
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1396703369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 1ST AVE N",
"address_2": "SUITE 230",
"city": "NAPLES",
"state": "FL",
"postal_code": "341026013",
"telephone_number": "239-434-7779",
"fax_number": "239-434-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 1ST AVE N",
"address_2": "SUITE 230",
"city": "NAPLES",
"state": "FL",
"postal_code": "341026013",
"telephone_number": "239-434-7779",
"fax_number": "239-434-7588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTINE FORSZPANIAK INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "FORSZPANIAK",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-434-7779",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME 49793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064785300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "110050893",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "DN646A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1107159",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.