Martin Thomas Forrest, D.O.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

DO2292 Issued in ME

Practice address

620 S Sandlake CT
Mount Dora, FL 32757-6084

Phone

(443) 521-5654

Fax

(888) 727-2212

NPI assigned

Aug 17, 2005

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Medicare reassignment NPD
• Mercy Hospital

  dba Northern Light Mercy Health Center

  • Rural Health Clinic/Center
  • Windham, ME
  • NPI 1396496378
  NPD
• David G Oliver MD PC

  • Pulmonary Disease Physician
  • Easton, MD
  • NPI 1063601441
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1740272632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S SANDLAKE CT",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576084",
            "telephone_number": "443-521-5654",
            "fax_number": "888-727-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S SANDLAKE CT",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576084",
            "telephone_number": "443-521-5654",
            "fax_number": "888-727-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "MARTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "H0060785",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ME",
            "license": "DO2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Woman Care,LLC (Lake Obstetrics and Gynecology,LLC)
• Shannon Fogarty, OT
• Alecia Shantel Folkes, DO
• Forbes Behavioral Services, LLC
• Nicole Christine Forbes
• Juan J Franco
• Samuel Dwight Franklin, AP
• Sydney Franz, RBT
• Sidnee Frederickson
• Karina Friman, PHARMD.

• Critical Care Medicine (Internal Medicine) Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.