Active NPI
Thomas P Forrestal Jr.
- Family Medicine Physician
- Zanesville, OH
National Provider Identifier
1487644696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35049982-F
- Practice address
- 930 Bethesda Dr
Building 4
Zanesville, OH 43701-0815 - Phone
- (740) 454-6828
- Fax
- (740) 454-3001
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35049982-F | OH | Primary |
Addresses
Primary practice location
930 Bethesda Dr
Building 4
Zanesville, OH 43701-0815
Mailing address
PO Box 1821
Zanesville, OH 43702-1821
Phone (740) 455-3342
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0541597 | Medicaid | OH | |
| 836068 | Other | OH | BWC PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35049982-F | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas P Forrestal Jr | Family Medicine | Past | Accepting new patients |
| Health First Medical Center | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1952850315
-
- Family Medicine Physician
- Gahanna, OH
- NPI 1760940316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1487644696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1821",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437021821",
"telephone_number": "740-455-3342",
"fax_number": "740-455-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 BETHESDA DR",
"address_2": "BUILDING 4",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437010815",
"telephone_number": "740-454-6828",
"fax_number": "740-454-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRESTAL",
"first_name": "THOMAS",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35049982-F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0541597",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC PROVIDER NUMBER",
"identifier": "836068",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.