JASON R FORNI (NPI# 1447570528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447570528 |
| Entity Type | Individual |
| Full Name | JASON R FORNI |
| Credential | DPM |
| Practice Address |
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438 |
| Mailing Address |
1001 West St Carthage NY 13619-9703 |
| Practice Telephone | 3157729863 |
| Mailing Telephone | 3157729863 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1935 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11050 MOUNT BELVEDERE BLVD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471932 | Randall Alan Bischoff | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2005-10-19 |
| 1619582657 | Tarah Schmidt | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-09-15 |
| 1538778832 | Daniel L Dettman | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-07-23 |
| 1942836978 | Christie Hurst | Licensed Practical Nurse | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-03-21 |
| 1679033112 | Taylor Nichole Singer | Psychologist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-03-21 |
| 1134692361 | Drew Curtis Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-01-10 |
| 1457834814 | Timothy Karnuth | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-12 |
| 1598248262 | Oscar Alfredo Garzon | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-10 |
| 1912484684 | Jacob Papenfuss | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-07-25 |
| 1285124644 | Marjorie A Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
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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.