Forma Medical Solutions LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FORMA MEDICAL SOLUTIONS LLC

Practice address

107 Orange St Apt 202
Darlington, SC 29532-3107

Phone

(843) 536-3375

Fax

(843) 968-9047

NPI assigned

Nov 20, 2018

Organization subpart

No

Name

David Irwin Morrisey

Title

Ceo

Phone

(843) 536-3375

Tax ID family

Forma Medical Solutions LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Forma Medical Solutions LLC

  • Genetics Clinic/Center
  • Darlington, SC
  • NPI 1225697477
  NPD tax ID
• Forma Medical Solutions LLC

  • Emergency Response System Companies
  • Darlington, SC
  • NPI 1942779640
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2018.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1578032405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ORANGE ST APT 202",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323107",
            "telephone_number": "843-536-3375",
            "fax_number": "843-968-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ORANGE ST APT 202",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323107",
            "telephone_number": "843-536-3375",
            "fax_number": "843-968-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMA MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "MORRISEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-536-3375"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Felder
• Sara Elizabeth Finch, MA,CCC-A
• Kellie B Flowers, RN
• Michael Patrick Flynn, CRNA
• Forma Medical Solutions LLC
• Forma Medical Solutions LLC
• Free Medical Clinic of Darlington County
• Freshstart Medical Management Inc.
• Dharaben Gajjar, DDS
• Lashaundra Gardner

• All providers in Darlington, SC
• Developmentally Disabled Services Day Training Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.