MR. DAVID J FORBES


Address: 5840 Banneker Rd Ste 200, Columbia, MD 21044-3156
Phone: 4104573196

MR. DAVID J FORBES (NPI# 1164427266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164427266
Entity Type Individual
Full Name MR. DAVID J FORBES
Credential CRNP
Practice Address 5840 Banneker Rd Ste 200
Columbia
MD 21044-3156
Mailing Address 5840 Banneker Rd
Columbia
MD 21044-3103
Practice Telephone 4104573196
Mailing Telephone 4104573196
Mailing Fax Number 4104573197
Enumeration Date 2005-06-15
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner R113539 MD Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R1-3539 MD Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R113539 MD Physician Assistants & Advanced Practice Nursing Providers
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
R113539 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 407499800 05

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Office Location

Street Address 5840 BANNEKER RD STE 200
City COLUMBIA
State MD
Zip Code 21044-3156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740799477 Janel Renee Cubbage Counselor 5840 Banneker Rd Ste 200, Columbia, MD 21044-3156 2017-09-26
1740706589 Gloria Michaela Chiantella Counselor 5840 Banneker Rd Ste 200, Columbia, MD 21044-3156 2017-08-14
1972026771 Jamie Gabrielle Woods Social Worker 5840 Banneker Rd Ste 200, Columbia, MD 21044-3156 2017-07-24
1770037012 Sara Diane Murry Social Worker 5840 Banneker Rd Ste 200, Columbia, MD 21044-3156 2016-08-03

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184849143 Myrna E. C. Carpenter Clinical Nurse Specialist 10632 Little Patuxent Pkwy, Suite 308a, Columbia, MD 21044-3273 2007-04-16
1598713208 Margaret Ann Yoest Clinical Nurse Specialist 551 E Southampton Dr, Columbia, MO 65201-4236 2006-05-05
1598720534 Kellie L Shuck Clinical Nurse Specialist 1001 W Worley St, Columbia, MO 65203-2037 2006-04-20

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Competitor

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City COLUMBIA
Zip Code 21044

Improve Information

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Dataset Information

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.

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