Kenneth P Forsman (NPI# 1255312047, PAC ID# 7719879246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255312047 |
| PAC ID by PECOS | 7719879246 |
| Professional Enrollment ID | I20070111000539 |
| Full Name | Kenneth P Forsman |
| Organization Legal Name | ALLEGAN GENERAL HOSPITAL |
| Address |
200 N Maple St Fennville Med Ctr Fennville MI 49408-8478 |
| Phone Number | 2695618761 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5092750356 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231328 | ALLEGAN GENERAL HOSPITAL |
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 N Maple St, Fennville Med Ctr, Fennville, MI 49408-8478 | 2695618761 | ALLEGAN GENERAL HOSPITAL |
| Organization Legal Name | ALLEGAN GENERAL HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea D Landis | Physician Assistant | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Madiha Farhat | Family Medicine | Allegan General Hospital | 900 Dix St, Otsego, MI 49078-1563 |
| Eriberto Carrion | Family Medicine | Allegan General Hospital | 406 N State St, Gobles Medical Clinic, Gobles, MI 49055-9717 |
| Susan L Rood | Clinical Social Worker | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Melissa A Torres | Physician Assistant | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| William E Sikes | Certified Registered Nurse Anesthetist (crna) | Allegan General Hospital | 555 Linn St, Allegan, MI 49010-1524 |
| Susie J Sebright | Physician Assistant | Allegan General Hospital | 555 Linn St, Allegan, MI 49010-1524 |
| Brenda Laninga Schloff | Family Medicine | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Jennifer Lyn Vance | Physician Assistant | Allegan General Hospital | 200 N Maple St, Fennville Med Ctr, Fennville, MI 49408-8478 |
| Lindsey Dawn Betout | Nurse Practitioner | Allegan General Hospital | 551 Linn St, Allegan, MI 49010-1591 |
| Street Address |
200 N MAPLE ST FENNVILLE MED CTR |
| City | FENNVILLE |
| State | MI |
| Zip | 49408-8478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lyn Vance | Physician Assistant | Allegan General Hospital | 200 N Maple St, Fennville Med Ctr, Fennville, MI 49408-8478 |
| City | FENNVILLE |
| Zip Code | 49408 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FENNVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth P Forsman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.