Organization Active NPI

J. P. Forage, M.D., P.a.

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1831219922
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G5050 Issued in TX
Legal business name
J. P. FORAGE, M.D., P.A.
Practice address
11645 Angus Rd
Ste B-6
Austin, TX 78759-4020
Phone
(512) 443-5954
Fax
(512) 326-3433
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Jean-Pierre Forage, M.D.
Title
President
Phone
(512) 443-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G5050 TX Primary

Addresses

Primary practice location

11645 Angus Rd
Ste B-6
Austin, TX 78759-4020

Mailing address

11645 Angus Rd
Ste B-6
Austin, TX 78759-4020
Phone (512) 443-5954

Other identifiers 2

IdentifierTypeStateIssuer
0831836-01MedicaidTX
PR29114470001OtherTXCIGNA VENDOR #

Other names 1

  • ASSOCIATES IN GENERAL SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

11111 Research Blvd
Ste 210
Austin, TX 78759
Phone (512) 324-1125

11645 Angus Rd
Ste B6
Austin, TX 78759
Phone (512) 443-5954

1340 Wonder World Dr
#340
San Marcos, TX 78666
Phone (512) 878-4203

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1831219922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 ANGUS RD",
            "address_2": "STE B-6",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594020",
            "telephone_number": "512-443-5954",
            "fax_number": "512-326-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 ANGUS RD",
            "address_2": "STE B-6",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594020",
            "telephone_number": "512-443-5954",
            "fax_number": "512-326-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. P. FORAGE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FORAGE",
        "authorized_official_first_name": "JEAN-PIERRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-443-5954",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G5050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0831836-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA VENDOR #",
            "identifier": "PR29114470001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATES IN GENERAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.