Forrest T Closson

MD | Pediatric Emergency Medicine | Male

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Complete Profile:

Forrest T Closson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Forrest T Closson
Credential :	MD
Gender :	Male

Business Address:

Forrest T Closson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	650 W Lombard St Baltimore, MD, 21201-1513 United States
Phone Number :	410-328-2079
Fax Number :	410-328-0987

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1164462552
NPI Entity Type :	Individual
First Enrolment Date :	07 Jun, 2006
Last Updated On :	10 Jul, 2008

Medicare Participation:

Forrest T Closson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2264628643
Medicare Enrollment ID :	I20101124000528
Primary Specialty :	Emergency Medicine
Medical School :	Howard University College Of Medicine
Graduation Year :	1998
Accepts Medicare?	Yes. Forrest T Closson accepts medicare insurance.

Group Practice Association:

Forrest T Closson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Forrest T Closson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Maryland Pediatric Associates, Pa	6800888678	34	650 W Lombard St Baltimore, MD - 212011513 Ph: 4107065181	Yes
University Of Maryland Pediatric Associates, Pa	6800888678	34	22 S Greene St Fl 5 Baltimore, MD - 212011544 Ph: 4107065181	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Forrest T Closson are as mentioned. Primary taxonomy code for Forrest T Closson, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	D57752	MD

Legacy Identifiers:

Other legacy medical identifiers of Forrest T Closson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
769802000	MEDICAID	MD

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 62063 Baltimore, MD, 21264-2063 United States
Phone Number :	410-706-5181
Fax Number :	410-706-5103

Business Location:

Patients can refer following map for directions to Forrest T Closson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.