Christopher W Forman (NPI# 1235285644, PAC ID# 9830119643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235285644 |
| PAC ID by PECOS | 9830119643 |
| Professional Enrollment ID | I20051122000834 |
| Full Name | Christopher W Forman |
| Organization Legal Name | CARSON TAHOE PHYSICIAN CLINICS |
| Address |
2874 N Carson St Suite 200 Carson City NV 89706-1682 |
| Phone Number | 7754457170 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153479027 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| 291306 | CARSON VALLEY MEDICAL CENTER |
| 050352 | BARTON MEMORIAL HOSPITAL |
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 | 7754457170 | CARSON TAHOE PHYSICIAN CLINICS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 64% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 14% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 68% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 17% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 71% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 48% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 94% | |
| MIPS_EC_047_overall | Care Plan | 99% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 79% |
| Organization Legal Name | CARSON TAHOE PHYSICIAN CLINICS |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew William Gordon | Family Medicine | Carson Tahoe Physician Clinics | 10539 Professional Cir, Suite 200, Reno, NV 89521-3858 |
| Jeremy Friend | Nurse Practitioner | Carson Tahoe Physician Clinics | 775 Fleischmann Way, Fl 2, Carson City, NV 89703-2995 |
| Christopher R Vlasek | Family Medicine | Carson Tahoe Physician Clinics | 926 Incline Village Way, Suite 150, Incline Village, NV 89451-0001 |
| Mridula Vinjamuri | Hematology/oncology | Carson Tahoe Physician Clinics | 1535 Medical Pkwy B, Carson City, NV 89703-4637 |
| Deborah Le Balch | Nurse Practitioner | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Carol J Daake | Nurse Practitioner | Carson Tahoe Physician Clinics | 1470 Medical Pkwy, Suite 160, Carson City, NV 89703-4636 |
| David M Baker | Cardiovascular Disease (cardiology) | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Kindal Lee Andrews | Nurse Practitioner | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Mark T Brune | Internal Medicine | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Stephen M Tann | Cardiovascular Disease (cardiology) | Carson Tahoe Physician Clinics | 1470 Medical Pkwy, Suite 160, Carson City, NV 89703-4636 |
| Street Address |
2874 N CARSON ST SUITE 200 |
| City | CARSON CITY |
| State | NV |
| Zip | 89706-1682 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Le Balch | Nurse Practitioner | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Daniela Borgia | Physician Assistant | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Honeylette Mojica Brotonel | Family Medicine | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Richard I Yamamoto | Internal Medicine | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Jean Gebhard | Nurse Practitioner | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Gerard Halaska | Internal Medicine | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Phil M Aldrich | Internal Medicine | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Nels N Dahlgren | Pain Management | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Audry L See | Nurse Practitioner | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Kenisha Mcelveen | Nurse Practitioner | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet K Corbit-drakulich | Optometry | See Center | 3033 N Carson St, Carson City, NV 89706-0153 |
| Sharon Long | Optometry | See Center | 3033 N Carson St, Carson City, NV 89706-0153 |
| Marie Lyn Emmerich | Nurse Practitioner | Hometown Health Management Company | 2814 N Carson St, Suite 101, Carson City, NV 89706-0177 |
| Bonnie M Lemieux | Nurse Practitioner | State of Nevada | 1665 Old Hot Springs Rd, 150 Carson Mental Health Center, Carson City, NV 89706-0668 |
| Jennifer D Mckay | Psychiatry | State of Nevada | 1665 Old Hot Springs Rd, 150 Carson Mental Health Center, Carson City, NV 89706-0668 |
| Jenny M Kloepfer | Clinical Social Worker | State of Nevada | 1665 Old Hot Springs Rd, 150 Carson Mental Health Center, Carson City, NV 89706-0668 |
| Jennifer Mccombs | Clinical Social Worker | State of Nevada | 1665 Old Hot Springs Rd, 150 Carson Mental Health Center, Carson City, NV 89706-0668 |
| David L Ramsey | Nurse Practitioner | State of Nevada | 1665 Old Hot Springs Rd, 150 Carson Mental Health Center, Carson City, NV 89706-0668 |
| Donald M Campbell | Clinical Psychologist | State of Nevada | 1665 Old Hot Springs Rd, Carson City, NV 89706-0668 |
| Karma L Florence | Nurse Practitioner | State of Nevada | 1665 Old Hot Springs Rd, Carson City, NV 89706-0668 |
| Find all physicians in zip 89706 | |||
| City | CARSON CITY |
| Zip Code | 89706 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CARSON CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Christopher W Forman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.