Gerard Forster, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-08137 Issued in NC

Practice address

12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6346

Phone

(910) 455-3666

NPI assigned

Nov 17, 2018

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

State licenses

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542412800000",
    "number": "1508335779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 HAWTHORNE PL",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229733",
            "telephone_number": "919-529-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD STE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416346",
            "telephone_number": "910-455-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTER",
        "first_name": "GERARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-17",
        "last_updated": "2018-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-08137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBERS",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W Forsen, MD
• Karen Edna Forsman, M.D.
• Ruben Lane Forsman, PHD, LCSW
• Oliver D Forst, BS
• Rebecca Declerk Forst, MPT
• Robert M Forstot, M.D.
• Steven Todd Forsyth, MS, PLPC, CRADC
• Latonya Fort
• Ola J. Fort, MSW
• Elisabeth Lenee Forte, MA, BCBA, LBA

• Medical Physician Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2018; 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.