Active NPI
Earl Nelson Forsyth, MD
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1811925969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D1635
- Practice address
- 9321 Moss Haven Dr
Dallas, TX 75231-1413 - Phone
- (214) 348-2443
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D1635 | TX | Primary |
Addresses
Primary practice location
9321 Moss Haven Dr
Dallas, TX 75231-1413
Mailing address
9321 Moss Haven Dr
Dallas, TX 75231-1413
Phone (214) 348-2443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1635 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Interpretive Services | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Dallas, TX
- NPI 1245301936
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1811925969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9321 MOSS HAVEN DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752311413",
"telephone_number": "214-348-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9321 MOSS HAVEN DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752311413",
"telephone_number": "214-348-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTH",
"first_name": "EARL",
"middle_name": "NELSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "D1635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.