Individual provider Active NPI

Leigh J Forbush, DO

  • Family Medicine Physician
  • Hampden, ME
National Provider Identifier
1790725497
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1760 Issued in ME
Practice address
603 Main Rd N
Hampden, ME 04444-1804
Phone
(207) 945-5400
Fax
(866) 463-6751
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1760 ME Primary

Addresses

Primary practice location

603 Main Rd N
Hampden, ME 04444-1804

Mailing address

603 Main Rd N
Ste 1
Hampden, ME 04444-1804
Phone (207) 945-5400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040309000064 ME Practitioner - Emergency Medicine 7113815424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1760MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Caribou CurrentSince Jun 14, 2014 Accepting new patients
Calais Community Hospital Past Accepting new patients
Spectrum Healthcare Partners, PA Past Accepting new patients
Calais Community Hospital Past Accepting new patients
Independent Medical Associates, PA Family Medicine Past Accepting new patients
Penobscot Valley Hospital Past Accepting new patients
Health Access Network, Inc. Past Accepting new patients

Locations

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1790725497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MAIN RD N",
            "address_2": "STE 1",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441804",
            "telephone_number": "207-945-5400",
            "fax_number": "866-463-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MAIN RD N",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441804",
            "telephone_number": "207-945-5400",
            "fax_number": "866-463-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBUSH",
        "first_name": "LEIGH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampden, ME

Sources for this page

Verify at the official NPI Registry.