DR. PETER GEORGE FORSTALL (NPI# 1982844098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982844098 |
| Entity Type | Individual |
| Full Name | DR. PETER GEORGE FORSTALL |
| Credential | M.D. |
| Practice Address |
5405 S 500 E Suite 204 Ogden UT 84405-6957 |
| Mailing Address |
5405 S 500 E Ste 204 Ogden UT 84405-7420 |
| Practice Telephone | 8014760184 |
| Practice Fax Number | 8014795642 |
| Mailing Telephone | 8014790184 |
| Mailing Fax Number | 8014795642 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2018-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5416513-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
5416513-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1477643179 | 01 |
| Street Address |
5405 S 500 E SUITE 204 |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425294 | Fawad Tanvir | Internal Medicine | 5405 S 500 E, Ste 100, Ogden, UT 84405-6957 | 2005-05-23 |
| 1356588008 | Mountainstar Medical Group-ogden Regional Medical Center, LLC | Internal Medicine | 5405 S 500 E, Ste. 100, Ogden, UT 84405-6957 | 2009-01-17 |
| 1760650527 | Columbia Ogden Regional | Family Medicine | 5405 S 500 E, Suite 110, Ogden, UT 84405-6957 | 2008-02-14 |
| 1821274655 | Nadya P. Wayment | Family Medicine | 5405 S 500 E, Ste. 100, Ogden, UT 84405-7428 | 2008-01-10 |
| 1003001553 | Ogden Internal Medicine & Urology LLC | Urology | 5405 S 500 E, Suite 100, Ogden, UT 84405-6957 | 2007-09-07 |
| 1669666509 | Utah Hematology Oncology | Specialist | 5405 S 500 E, Suite 202, Ogden, UT 84405-6957 | 2007-09-04 |
| 1013121003 | Alpine Plastic and Reconstructive Surgery, LLC | Specialist | 5405 S 500 E, Suite101, Ogden, UT 84405-6957 | 2007-05-09 |
| 1437267192 | Kathleen R Deremer | Internal Medicine | 5405 S 500 E, Suite 100, Ogden, UT 84405-6957 | 2006-08-25 |
| 1952326357 | Adam C Craner | Nurse Practitioner | 5405 S 500 E, Ste. 100, Ogden, UT 84405-6957 | 2006-07-13 |
| 1750314480 | Robert R Mohr | Internal Medicine | 5405 S 500 E, Ste. 100, Ogden, UT 84405-6957 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952569931 | Yonathan Melman | Internal Medicine | 4403 Harrison Blvd, Ste 3450, Ogden, UT 84403-3271 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851795652 | University of Utah Adult Services | Internal Medicine | 50 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| 1164842415 | Karnika Ayinapudi | Internal Medicine | 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 | 2014-04-24 |
| 1497078786 | Seongwook Han | Internal Medicine | 1055 N 500 W, Ste 101, Provo, UT 84604-3305 | 2010-03-01 |
| 1992967335 | Nischala Nannapaneni | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2008-06-26 |
| 1417025628 | Michael Cutler | Internal Medicine | 5169 S Cottonwood St, Ste 510, Murray, UT 84107-6767 | 2006-12-04 |
| 1952480527 | Susan P. Etheridge | Internal Medicine | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2006-11-03 |
| 1518048305 | Travis Scott Wall | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-18 |
| 1790866580 | Roger A. Freedman | Internal Medicine | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-10-18 |
| 1366413924 | John H. Jentzer | Internal Medicine | 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123 | 2006-01-31 |
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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.