Forage Professional Services PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

License

10801 Issued in NV

Legal business name

FORAGE PROFESSIONAL SERVICES PLLC

Practice address

10624 S Eastern Ave # A443
Henderson, NV 89052-2982

Phone

(702) 896-0940

NPI assigned

Jul 26, 2018

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Forage, MDNPI 1699732917

Title

Sole Member

Phone

(800) 310-7334

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James S Forage, M.D.

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1699732917
  NPD Authorized official

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1548747066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 880284 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "800-310-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A443",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-896-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORAGE PROFESSIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "FORAGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "800-310-7334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NV",
            "license": "10801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Fonseca
• Food4Less of Southern California Inc (Food4Less Pharmacy)
• Foot & Ankle Surgical Group, LLP
• Foot & Ankle Surgical Group, LLP
• Foothills Pediatrics, LLC.
• James S Forage, M.D.
• Anetta Ford
• Kenshun Ford
• Mikeisha Ford
• Shaqueta Ford

• Electrodiagnostic Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Electrodiagnostic Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.