Organization Active NPI

David H Forst MD PC

  • Interventional Cardiology Physician
  • Troy, MI
National Provider Identifier
1801091491
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301042877 Issued in MI
Legal business name
DAVID H FORST MD PC
Practice address
44199 Dequindre Rd
Suite #116
Troy, MI 48085-1128
Phone
(248) 964-9150
Fax
(248) 964-9154
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Pat J. Persichetti
Title
Office Coordinator
Phone
(248) 964-9150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 4301042877 MI Primary

Addresses

Primary practice location

44199 Dequindre Rd
Suite #116
Troy, MI 48085-1128

Mailing address

44199 Dequindre Rd Ste 116
Troy, MI 48085-1128
Phone (248) 964-9150

Other identifiers 1

IdentifierTypeStateIssuer
3081479 TYPE #10MedicaidMI

Other names 1

  • Troy Cardiology PC Doing business as

National Provider Directory

National Provider Directory

Locations

44199 Dequindre Rd
Ste 116
Troy, MI 48085
Phone (248) 964-9150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1801091491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD STE 116",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-9150",
            "fax_number": "248-964-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD",
            "address_2": "SUITE #116",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-9150",
            "fax_number": "248-964-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H FORST MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "PERSICHETTI",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "248-964-9150"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301042877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081479 TYPE #10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Cardiology PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

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