FORUM HEALTH ENTERPRISES CO (NPI# 1013028406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013028406 |
| Entity Type | Organization |
| Organization Name | FORUM HEALTH ENTERPRISES CO |
| Practice Address |
500 Gypsy Ln Youngstown OH 44504-1315 |
| Mailing Address |
Po Box 1113 Youngstown OH 44501-1113 |
| Practice Telephone | 3308844570 |
| Practice Fax Number | 3308840011 |
| Mailing Telephone | 3308844850 |
| Mailing Fax Number | 3308840011 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY NELSON (DIRECTOR) |
| Authorized Official Telephone | 3308844850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| X | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| X | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 GYPSY LN |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838497 | Pediatric Imaging Associates, LLC | Specialist | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2005-06-01 |
| 1245899772 | Eric Laurence Trevizo | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-06-09 |
| 1891258968 | Shyam Krishna Poudel | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-07 |
| 1518429711 | Allen Tsai | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-05 |
| 1174084420 | Poonam Nayyer Choudhry | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1093276552 | Brittany Raisa Cools-lartigue | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-27 |
| 1104386176 | Noha Nabil Nasif Soror | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-25 |
| 1871053223 | Jakob Anthony Weaver | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-21 |
| 1245790807 | Emma Sayre | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-20 |
| 1639638596 | Erik Sven Coopes | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881031474 | Michael Anthony Pugnale | Anesthesiology | 7503 S Timberlane Dr, Madeira, OH 45243-1847 | 2013-05-23 |
| 1639494461 | Michael Joseph Mckay | Anesthesiology | 6770 Liberty Road N, Powell, OH 43065-8202 | 2010-04-05 |
| 1326015405 | Joe Georges Zein | Anesthesiology | Cleveland Clinic Main Campus, Mail Code A90, Cleveland, OH 44195-0001 | 2006-03-07 |
| 1417951948 | Anesthesia Group Practice, Inc | Anesthesiology | 10500 Montgomery Road, Cincinnati, OH 45242-4402 | 2005-06-13 |
| 1821628678 | Brittany Newman | Anesthesiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-01-21 |
| 1316455942 | Earl Simpkins Iv | Anesthesiology | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2018-01-17 |
| 1386026276 | Kruti Shah | Anesthesiology | 3000 Arlington Ave, Ms 1050, Graduate Medical Education, Toledo, OH 43614-2595 | 2015-06-26 |
| 1568881464 | Kari Lynn Gorder | Anesthesiology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2014-04-08 |
| 1407274434 | Nakul Kumar | Anesthesiology | 9500 Euclid Ave, Cleveland, OH 44195-5031 | 2014-04-07 |
| 1447678842 | Katherine E Rog | Anesthesiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2014-04-02 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.