Active NPI
J. P. Forage, M.D., P.a.
- Surgery Physician
- Austin, TX
National Provider Identifier
1831219922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G5050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0831836-01 | Medicaid | TX | |
| PR29114470001 | Other | TX | CIGNA VENDOR # |
Other names 1
- ASSOCIATES IN GENERAL SURGERY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Austin, TX
- NPI 1558469452
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.