JOHN M FORMAN (NPI# 1992871123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992871123 |
| Entity Type | Individual |
| Full Name | JOHN M FORMAN |
| Credential | MD |
| Practice Address |
1000 Carondelet Dr Ste 201b Kansas City MO 64114 |
| Mailing Address |
1000 Carondelet, Attn: Physician Credentialing Kansas City MO 64114-4608 |
| Practice Telephone | 8169437600 |
| Practice Fax Number | 8169417456 |
| Mailing Telephone | 8169435743 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
R4J81 | MO | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | R4J81 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Ne Ralph Powell Rd, Lees Summit, MO 64064 | 8165251600 | 8165250173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063950020 | John Forman | Pharmacist | 6877 Sebastopol Ave, Sebastopol, CA 95472-3416 | 2017-02-09 |
| 1932166253 | John P Forman | Internal Medicine | 725 Albany Street, Shapiro 7, Suite A, Boston, MA 02118 | 2006-04-28 |
| 1366449506 | John W Forman | Internal Medicine | 725 Glenwood Dr, Suite E-500, Chattanooga, TN 37404-1163 | 2005-07-01 |
| Street Address |
1000 CARONDELET DR STE 201B |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363838 | Carondelet Emergency Physicians Inc | Emergency Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2005-06-01 |
| 1871117465 | Kensey Demoss | Speech-Language Pathologist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-05-30 |
| 1447882345 | Sean Hudson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-02-08 |
| 1174162556 | Alexandra Rozman-o'neill | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-01-02 |
| 1992344691 | Mary Davidson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-27 |
| 1053959825 | Fadia Khuffash | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-12 |
| 1144868969 | Amanda K Howell | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-11 |
| 1174160485 | Melissa Ann Dusenberry | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-05 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1336634294 | Amanda K Goldsmith | Nurse Practitioner | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114243995 | Graham Robertson Young Pollock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4320 Wornall Rd Ste 50-ii, Kansas City, MO 64111-5941 | 2010-04-19 |
| 1043460710 | Justin Van Meeteren | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2330 E Meyer Blvd Ste 505, Kansas City, MO 64132-1152 | 2008-09-30 |
| 1356827455 | Chao Li | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4320 Wornall Rd Ste 50, Kansas City, MO 64111-5943 | 2018-07-12 |
| 1407362882 | William Allen Reed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Rainbow Blvd, Kansas City, KS 66160 | 2017-12-20 |
| 1013327535 | Kevin M Beers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-05-06 |
| 1164778049 | Vena and Wound Care Centers of America, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1610 Washington Blvd, Kansas City, KS 66102-2842 | 2012-07-30 |
| 1023246493 | Jessica K Heimes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Rainbow Blvd, Ms 2005, Kansas City, KS 66103-2937 | 2009-06-24 |
| 1164665600 | Heart Surgeons of Kansas City, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4330 Wornall Rd, Suite 50, Kansas City, MO 64111-3201 | 2009-04-14 |
| 1053515973 | Meadowlark Medical Services, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1610 Washington Blvd, Kansas City, KS 66102-2842 | 2007-06-13 |
| 1265570055 | Kansas Heart and Lung Surgery, Chartered | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8919 Parallel Pkwy, Suite 203, Kansas City, KS 66112-1636 | 2007-02-02 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.