Timothy Joseeph Forness, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

ME71975 Issued in FL

Practice address

3802 Dogwood Ave
Palm Beach Gardens, FL 33410-4755

Phone

(561) 386-9211

Fax

(561) 622-7694

NPI assigned

Oct 14, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1437520509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 DOGWOOD AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104755",
            "telephone_number": "561-386-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 DOGWOOD AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104755",
            "telephone_number": "561-386-9211",
            "fax_number": "561-622-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNESS",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME71975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253487800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyla Fontaina Hernandez
• April Lynn Forella, MS, MH9797
• Foreyes Optical of Coconut Grove
• Abdaelle Forges
• Craig Michael Forleiter, M.D.
• Therese Forte, PA-C
• Jorge Fortun, MD
• Robert S Fortunato, RRT
• Rafael Foss, DC
• Antoinette Levette Foster, FNP-BC, APRN

• Adult Reconstructive Orthopaedic Surgery Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.