Anne Marie Sophia Forth, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

214456 Issued in MA

Practice address

26 Queen St
Worcester, MA 01610-2473

Phone

(508) 860-7700

Fax

(508) 860-7929

NPI assigned

Feb 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1952374720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-860-7700",
            "fax_number": "508-860-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-860-7700",
            "fax_number": "508-860-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTH",
        "first_name": "ANNE MARIE",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "214456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy L Forrester, MS, CCC-A
• Lynn Fors
• Ashley Forsman, SLP
• Joseph Mackeinty Forson Jr.
• Richard M Forster, M.D.
• Tiffany M Forti, M.D., M.P.H.
• Edward James Fortier, MSW INTERN
• Lauren E Fortier, NP
• Morgan Talbot Fortier
• Natasha M Fortier, PA-C

• Adult Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Adult Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.