DR. TIMOTHY SHANE FORSYTHE (NPI# 1598178675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598178675 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY SHANE FORSYTHE |
| Credential | DO |
| Practice Address |
500 J Clyde Morris Blvd Newport News VA 23601 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 7575942083 |
| Practice Fax Number | 7575942196 |
| Mailing Telephone | 7573165800 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 010220516 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | LP03142 | RI | Student, Health Care |
| Street Address |
500 J CLYDE MORRIS BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397343 | Camelia Pana | Internal Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-06-21 |
| 1538769724 | Jessica L Adams | Nurse Practitioner | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-10-28 |
| 1902424526 | Danh Nguyen | Pharmacist | 500 J Clyde Morris Blvd, Fourth Floor East, Newport News, VA 23601-1929 | 2020-07-09 |
| 1700402534 | Jennifer Towne Noble-treacy | Nurse Practitioner | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-06-17 |
| 1356962419 | Kimberly Mrofchak | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-29 |
| 1598384380 | David Wallington | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-11 |
| 1588293948 | Joshua David Kirbens | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-07 |
| 1700415148 | Gregory Arthur Boyer | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-07 |
| 1275162836 | Alanna D'amelio | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-06 |
| 1750910428 | Rachel Clare Yestrebi | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045790 | Adrian Dews Sr. | Emergency Medicine | 2 Bernadine Drive, Emergency Dept, Newport News, VA 23602-4499 | 2009-07-02 |
| 1881636702 | Timothy W Hutchison | Emergency Medicine | 12720 Mcmanus Blvd Ste 204, Newport News, VA 23602-4486 | 2006-06-12 |
| 1942257621 | Fairleigh David Small | Emergency Medicine | 12420 Warwick Blvd Ste 5b, Newport News, VA 23606-3053 | 2006-05-28 |
| 1902882111 | Alan D Creek | Emergency Medicine | 12997 Warwick Blvd, Newport News, VA 23602-8352 | 2005-12-20 |
| 1518344530 | Jason Bavarian | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2015-04-28 |
| 1760878078 | Catherine Shany Agustiady-becker | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602 | 2015-04-13 |
| 1841604626 | Kylie Conroy | Emergency Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2014-06-19 |
| 1205255015 | Amanda Gail Polsinelli | Emergency Medicine | 500 J Clyde Morris Blvd Ste A, Newport News, VA 23601 | 2014-04-08 |
| 1831537182 | Daniel Ryan Micheller | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2013-06-10 |
| 1457693509 | Hampton Roads Emergency Physicians Pllc | Emergency Medicine | 2 Bernardine Dr, Suite 204, Newport News, VA 23602-4404 | 2013-03-26 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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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.