Healthcare Provider Details

I. General information

NPI: 1225830961
Provider Name (Legal Business Name): FORBES MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 4TH AVE STE 300
PITTSBURGH PA
15219-1507
US

IV. Provider business mailing address

429 4TH AVE STE 300
PITTSBURGH PA
15219-1507
US

V. Phone/Fax

Practice location:
  • Phone: 412-679-1124
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LORI KINZER
Title or Position: MANAGER
Credential:
Phone: 561-289-6759