Active NPI
Robert Alan Forinash, MD
- General Practice Physician
- Gastonia, NC
National Provider Identifier
1639239254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 200200353
- Practice address
- 111 E 3Rd Ave
Gastonia, NC 28052-4343 - Phone
- (704) 874-3300
- Fax
- (704) 874-0065
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 200200353 | NC | Primary |
| Psychiatry Physician | 2084P0800X | 200200353 | NC | |
| Addiction Psychiatry Physician | 2084P0802X | 200200353 | NC |
Addresses
Primary practice location
111 E 3Rd Ave
Gastonia, NC 28052-4343
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891356K | Medicaid | NC | |
| 1356K | Other | NC | BLUE CROSS BS OF NC PIN |
| 200200353 | Other | NC | NORTH CAROLINA MEDICAL BOARD |
| 562211430 | Other | NC | TRICARE NORTH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Family Services | Psychiatry | Past | Accepting new patients |
| Pinnacle Healthcare Resources | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Mooresville, NC
- NPI 1912133489
-
- Health Service Clinic/Center
- Shelby, NC
- NPI 1962410894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1639239254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1904",
"fax_number": "704-867-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 3RD AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524343",
"telephone_number": "704-874-3300",
"fax_number": "704-874-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORINASH",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "200200353",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200200353",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NC",
"license": "200200353",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891356K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BS OF NC PIN",
"identifier": "1356K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAL BOARD",
"identifier": "200200353",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH",
"identifier": "562211430",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.