Active NPI
Jean-Pierre Forage, M.D.
- Surgery Physician
- Austin, TX
National Provider Identifier
1396789764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G5050
- Practice address
- 11645 Angus Rd
Ste B-6
Austin, TX 78759-4020 - Phone
- (512) 443-5954
- Fax
- (512) 326-3433
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G5050 | TX | Primary |
Addresses
Primary practice location
11645 Angus Rd
Ste B-6
Austin, TX 78759-4020
Mailing address
11645 Angus Rd
Suite B-6
Austin, TX 78759-4020
Phone (512) 443-5954
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80T081 | Other | TX | BCBS INDIVIDUAL # |
| 113863802 | Medicaid | TX | |
| 083183601 | Medicaid | TX | |
| 742638492 | Other | TX | TAX ID |
Other names 1
- J.P. Forage
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyon Christopher Shin, M.D., P.a. | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Austin, TX
- NPI 1871741900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1396789764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 ANGUS RD",
"address_2": "SUITE B-6",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594020",
"telephone_number": "512-443-5954",
"fax_number": "512-326-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 ANGUS RD",
"address_2": "STE B-6",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594020",
"telephone_number": "512-443-5954",
"fax_number": "512-326-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORAGE",
"first_name": "JEAN-PIERRE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G5050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL #",
"identifier": "80T081",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113863802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083183601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "742638492",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J.P.",
"last_name": "FORAGE",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.