Forrest Holt Wright, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

016390 Issued in LA

Practice address

2751 Albert L Bicknell Dr
Suite 5a
Shreveport, LA 71103-3920

Phone

(318) 635-5019

Fax

(318) 226-1759

NPI assigned

Sep 29, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• WK Vascular Surgical Associates

  • Vascular Surgery Physician
  • Shreveport, LA
  • NPI 1598096240
  NPD
• Charles R. Byrd MD a Professional

  • Specialist
  • Shreveport, LA
  • NPI 1124042585
  NPD (past)
• WK North Laparoscopic Surgical Associates

  • Surgery Physician
  • Shreveport, LA
  • NPI 1114367976
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1770675282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "SUITE 5A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-635-5019",
            "fax_number": "318-226-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "SUITE 5A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-635-5019",
            "fax_number": "318-226-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "FORREST",
        "middle_name": "HOLT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "016390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1354562",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chastity Wright
• Cindee Wright
• Cristee Wright, PHARM.D.
• Deirdre Mashale Wright
• Dewana T Wright
• Jeffrey Wright
• Jennifer Wright, MD
• Jessica Nicole Wright
• Kamri Wright
• Kelsee I Wright

• Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.