Active NPI
Manny Joseph Forkowitz, M.D.
- Urology Physician
- Waxahachie, TX
National Provider Identifier
1528067998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G0406
- Practice address
- 3000 Brown St
Waxahachie, TX 75165-5330 - Phone
- (972) 937-4266
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G0406 | TX | Primary |
Addresses
Primary practice location
3000 Brown St
Waxahachie, TX 75165-5330
Mailing address
3000 Brown St
Waxahachie, TX 75165-5330
Phone (972) 937-4266
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0406 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1528067998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 BROWN ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655330",
"telephone_number": "972-937-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 BROWN ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655330",
"telephone_number": "972-937-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORKOWITZ",
"first_name": "MANNY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "G0406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.