MR. DAVID WAYNE FORBIS


Address: 1715 Village Way, Orange Park, FL 32073-5263
Phone: 9042648418

MR. DAVID WAYNE FORBIS (NPI# 1932265097) 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) 1932265097
Entity Type Individual
Full Name MR. DAVID WAYNE FORBIS
Credential PA-C
Practice Address 1715 Village Way
Orange Park
FL 32073-5263
Mailing Address 680 Ohara Rd
Middleburg
FL 32068-6857
Practice Telephone 9042648418
Practice Fax Number 9042649692
Mailing Telephone 9042763110
Mailing Fax Number 9042649692
Enumeration Date 2006-12-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9101040 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL EMPLOYER ID # 59-3629546 01

Office Location

Street Address 1715 VILLAGE WAY
City ORANGE PARK
State FL
Zip Code 32073-5263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962487033 James Emmett Kaelin Urology 1715 Village Way, Orange Park, FL 32073-5263 2005-12-13
1932444254 Florida Physician Specialists LLC Urology 1715 Village Way, Orange Park, FL 32073-5263 2012-11-28
1720310733 Integrated Community Oncology Network LLC Urology 1715 Village Way, Orange Park, FL 32073-5263 2010-02-02
1407014814 David Scott Bargnesi Urology 1715 Village Way, Orange Park, FL 32073-5263 2008-06-02
1669552030 Christopher Moore Urology 1715 Village Way, Orange Park, FL 32073-5263 2006-10-17
1437245875 Marc Hepner Blasser Urology 1715 Village Way, Orange Park, FL 32073 2006-10-05
1447235411 Urology Assoc. of N.e. Florida Urology 1715 Village Way, Orange Park, FL 32073-5263 2005-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
Find all providers in zip 32073

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083107965 Michael Rucker II Physician Assistant 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 2018-06-14
1134598857 Shavone Simmonds Physician Assistant 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 2015-09-23
1396794137 Jennifer M. Hinton Physician Assistant 1555 Kingsley Ave, Suite 503, Orange Park, FL 32073-9207 2006-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811598691 Monica Nancy Ginocchio Physician Assistant 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 2020-11-06
1427657055 Alyson Ryall Physician Assistant 480 Ventura Pl, Vero Beach, FL 32963-4262 2020-10-24
1104436476 Forrest Joseph Steslow Physician Assistant 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 2020-08-03
1063039576 Joshua Bras Prewitt Physician Assistant 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 2020-06-30
1003443904 Sheila Rhinehart Physician Assistant 981 Tarpon Ave, Sebastian, FL 32958-5147 2020-03-23
1952932493 Lisel Spieler Physician Assistant 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 2020-02-03
1326685991 Nikolai X Lincavage Physician Assistant 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 2019-12-03
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
1720635998 Jose R Munoz Physician Assistant 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 2019-08-22
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
Find all providers with the same taxonomy

Competitor

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City ORANGE PARK
Zip Code 32073

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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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