Active NPI
David a Forster D.O. P.C.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pontiac, MI
National Provider Identifier
1629196191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- DAVID A FORSTER D.O. P.C.
- Practice address
- 44555 Woodward Ave
Suite 307
Pontiac, MI 48341-5031 - Phone
- (248) 858-3939
- Fax
- (248) 858-3844
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Forster, DO
- Title
- Owner
- Phone
- (248) 858-3939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
44555 Woodward Ave
Suite 307
Pontiac, MI 48341-5031
Mailing address
44555 Woodward Ave
Suite 307
Pontiac, MI 48341-5031
Phone (248) 858-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1836100 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277164800000",
"number": "1629196191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44555 WOODWARD AVE",
"address_2": "SUITE 307",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415031",
"telephone_number": "248-858-3939",
"fax_number": "248-858-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44555 WOODWARD AVE",
"address_2": "SUITE 307",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415031",
"telephone_number": "248-858-3939",
"fax_number": "248-858-3844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A FORSTER D.O. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2010-06-22",
"status": "A",
"authorized_official_last_name": "FORSTER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-858-3939",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1836100",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.