Gregory J Forstall MD PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

4301061462 Issued in MI

Legal business name

GREGORY J FORSTALL MD PC

Practice address

401 S Ballenger Hwy
Flint, MI 48532-3638

Phone

(810) 720-0639

Fax

(810) 230-1978

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory J Forstall, M.D.NPI 1477642486

Title

President

Phone

(810) 720-0639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory J Forstall, M.D.

  • Infectious Disease Physician
  • Flint, MI
  • NPI 1477642486
  Medicare reassignment NPD Authorized official
• Pranjali S Wakade, PA

  • Physician Assistant
  • Flint, MI
  • NPI 1912056896
  Medicare reassignment

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1487731287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321068",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485320019",
            "telephone_number": "810-720-0639",
            "fax_number": "810-230-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-720-0639",
            "fax_number": "810-230-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J FORSTALL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "FORSTALL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-0639",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301061462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalen Greene
• Kristen L Greenleaf
• Jerrid Michael Greenman
• Ann Marie Greenway
• Gregorio Imperial, MD PC
• Shala Gregory
• Samantha Gregson, MOT, OTRL
• Matthew J Grenier
• Manjit Grewal, M.D.
• Sandeep S Grewal, M.D.

• Infectious Disease Physician in Flint, MI
• Providers in Flint, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.

Verify at the official NPI Registry.