Isadore P Forman DPM LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SL002073L Issued in PA

Legal business name

ISADORE P FORMAN DPM LTD

Practice address

100 E Lancaster Ave
Ste 117
Wynnewood, PA 19096-3450

Phone

(610) 649-9662

NPI assigned

Oct 31, 2005

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William R Forman, DPMNPI 1255328571

Title

President

Phone

(610) 649-9662

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R Forman, DPM

  • Podiatrist
  • Wynnewood, PA
  • NPI 1255328571
  Authorized official Same address or phone

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1750372694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "STE 117",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-649-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "STE 117",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-649-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISADORE P FORMAN DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-649-9662",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SL002073L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI HEALTH",
            "identifier": "153388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0050609302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "048258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Ingerman, M.D.
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• Integrated Foot and Ankle Specialists of PA LLC (Bryn Mawr Foot & Ankle Center)
• Ali Iqbal, MD
• Alice May Isidro, PA-C
• Filip Istvanic, MD
• Paulette E Jackman
• Olivia Kate Jacques, MD
• Deeksha Jain, PA-C

• Podiatrist in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.