David Henry Forsted, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD012940E Issued in PA

Practice address

615 Fariston Dr
Wynnewood, PA 19096-2506

Phone

(610) 649-7598

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 12, 2016 through Feb 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Main Line Health Imaging LP

  • Diagnostic Radiology Physician
  • Wynnewood, PA
  • NPI 1477504264
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689620346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FARISTON DR",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962506",
            "telephone_number": "610-649-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FARISTON DR",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962506",
            "telephone_number": "610-649-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTED",
        "first_name": "DAVID",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD012940E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006862780004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Flanagan, APN
• Samantha Flynn, D.O.
• Carrie Forman
• Jessica Lauren Forman
• William R Forman, DPM
• Danielle Dolores Forster, D.O.
• Rebecca Fox
• Tyler Fox
• Evan David Frank, MD PHD
• Sherrie Stiffler Freilich, RN CRNP

• Diagnostic Radiology Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.