Active NPI
Jodi M Forwand, MD
- Emergency Medicine Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21863001
- Practice address
- 75 Beekman St
Plattsburgh, NY 12901-1438 - Phone
- (518) 562-7900
- Fax
- (518) 562-7933
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21863001 | NY | Primary |
Addresses
Primary practice location
75 Beekman St
Plattsburgh, NY 12901-1438
Mailing address
PO Box 2868
Plattsburgh, NY 12901-0259
Phone (518) 562-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02242657 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Vermont College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Center Inc
Practice addresses (Care Compare)
133 Fairfield St
Suite 102
Saint Albans, VT 05478-1726
Phone (802) 524-5911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21863001 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center Inc | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Northwestern Medical Center, Inc | Current | Accepting new patients |
Locations
927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
133 Fairfield St
Ste 102
Saint Albans, VT 05478
Phone (802) 524-5911
260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538442199
-
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1386689875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477604684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2868",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129010259",
"telephone_number": "518-562-7900",
"fax_number": "518-562-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011438",
"telephone_number": "518-562-7900",
"fax_number": "518-562-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORWAND",
"first_name": "JODI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "21863001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02242657",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.