Nurse Practitioner
FORUM HEALTH ENTERPRISES CO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1013028406 · enumerated 2006-08-31 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. TIMOTHY NELSON, DIRECTOR · (330) 884-4850
Addresses and phones
- Mailing address PO BOX 1113, YOUNGSTOWN, OH, 44501-1113 (330) 884-4850 Fax (330) 884-0011 Google Maps Apple Maps OpenStreetMap
- Practice location 500 GYPSY LN, YOUNGSTOWN, OH, 44504-1315 (330) 884-4570 Fax (330) 884-0011 Google Maps Apple Maps OpenStreetMap
Specialties
- Anesthesiology, Critical Care Medicine 207LC0200X
- Family Medicine 207Q00000X
- Internal Medicine 207R00000X
- Obstetrics & Gynecology 207V00000X
- Orthopaedic Surgery 207X00000X
- Pediatrics 208000000X
- Pediatrics, Neonatal-Perinatal Medicine 2080N0001X
- Physical Medicine & Rehabilitation 208100000X
- Radiology, Diagnostic Radiology 2085R0202X
- Surgery 208600000X
- Surgery, Trauma Surgery 2086S0127X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
YOUNGSTOWN, OH, 445041315
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.