FORSYTH FAMILY MEDICAL CLINIC, LLC (NPI# 1265753792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265753792 |
| Entity Type | Organization |
| Organization Name | FORSYTH FAMILY MEDICAL CLINIC, LLC |
| Practice Address |
10726 E Hwy 76 Ste. G Forsyth MO 65653 |
| Mailing Address |
Po Box 1239 Forsyth MO 65653-1239 |
| Practice Telephone | 4175462590 |
| Practice Fax Number | 4175462594 |
| Mailing Telephone | 4175462590 |
| Mailing Fax Number | 4175462594 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | SHEILA LOUISE WYMAN (FNP / OWNER) |
| Authorized Official Telephone | 4175462590 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
120158 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10726 E HWY 76 STE. G |
| City | FORSYTH |
| State | MO |
| Zip Code | 65653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031678 | Ruth Adams | Technician | 218 Cardinal Road, Forsyth Mo, MO 65653 | 2019-09-04 |
| 1114163102 | Darla J. Monholland | Speech-Language Pathologist | 178 Panther Rd., Forsyth, MO 65653 | 2008-12-23 |
| 1730334434 | Forsyth R-iii School District | Local Education Agency (LEA) | 178 Panther Road, Forsyth, MO 65653 | 2008-11-21 |
| 1306009105 | Family Pharmacy Partneship | Durable Medical Equipment & Medical Supplies | 14974 Us Hwy 160, Forsyth, MO 65653 | 2008-07-02 |
| 1447384417 | Chyrelle Louann Blount | Dentist | 15479 Us Highway 160, Forsyth, MO 65653 | 2007-03-14 |
| 1497888085 | Taney County Health Dept | Public Health or Welfare | 15479 Us Hwy 160, Forsyth, MO 65653 | 2007-03-13 |
| 1922137652 | Dr Edward A Schanda and Dr Albert H Schanda Dds LLC | Dentist | 16040 Us Hwy 160, Forsyth, MO 65653 | 2007-03-06 |
| 1508991506 | T & T Chiropractic, Inc | Chiropractor | 15752 Us Hwy 160, Forsyth, MO 65653 | 2007-02-22 |
| 1639244916 | Deborah Ann Epps | Chiropractor | 15056 Us Hwy 160, Forsyth, MO 65653 | 2006-11-21 |
| 1871607846 | Jims Script Shop | Pharmacy | 15580 St Hwy 60, Forsyth, MO 65653 | 2006-08-18 |
| Find all providers in zip 65653 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602539 | Stephanie Marie Wood | Nurse Practitioner | 13852 Us Highway 160, Forsyth, MO 65653-5156 | 2019-11-01 |
| 1326562323 | Erin E Noblitt | Nurse Practitioner | 241 W Weaver Rd Ste 240, Forsyth, IL 62535-9770 | 2017-08-01 |
| 1306360383 | Anne E Schniepp | Nurse Practitioner | 241 W Weaver Rd Ste 145c, Forsyth, IL 62535-9767 | 2017-08-01 |
| 1114393717 | Allison Danielle Bowden | Nurse Practitioner | 310 Old Oak Dr, Forsyth, GA 31029-4257 | 2015-08-18 |
| 1770966194 | Jennifer Renae Skinner | Nurse Practitioner | 70 Country Club Dr, Forsyth, GA 31029-3103 | 2015-07-02 |
| 1215154398 | Sheila Louise Wyman | Nurse Practitioner | 10726 State Highway 76, Ste G, Forsyth, MO 65653-5450 | 2007-04-19 |
| 1275660847 | Mercy Clinic-springfield Communities | Nurse Practitioner | 517 Coy Blvd, Forsyth, MO 65653-5083 | 2007-02-28 |
| 1427160191 | Tammy Lynn Barnett | Nurse Practitioner | 97 Martin Luther King Jr. Dr., Forsyth, GA 31029-1648 | 2006-08-31 |
| 1316988645 | Sarah Elizabeth Conklin | Nurse Practitioner | 90-a Martin Luther King Jr. Drive, Forsyth, GA 31029-0000 | 2006-06-09 |
| 1639725823 | Samantha Eugenia Freeman | Nurse Practitioner | 256 State Highway Y, Forsyth, MO 65653-5618 | 2019-08-13 |
| Find all providers in FORSYTH | ||||
Please comment or provide details below to improve the information on FORSYTH FAMILY MEDICAL CLINIC, LLC.
| 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.