FORWARD MEDICAL WEIGHT LOSS LLC
NPI 1114356029
Clinic/Center - Health Service in Germantown, WI

Active since November 01, 2013
N112W15568 MEQUON RD # 6, GERMANTOWN, WI 53022(262) 313-8375(262) 255-1482 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Health Service

About FORWARD MEDICAL WEIGHT LOSS LLC

This page provides the complete NPI Profile along with additional information for Forward Medical Weight Loss Llc, a provider established in Germantown, Wisconsin operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1114356029 assigned on November 2013. The practitioner's primary taxonomy code is 261QH0100X with license number 3690-033 (WI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Lindsay Ann Carmody Apnp (Apnp)

NPI
1114356029 Verify this NPI
Provider Name
FORWARD MEDICAL WEIGHT LOSS LLC
Entity Type
Organization
Location Address
N112W15568 MEQUON RD # 6 GERMANTOWN, WI 53022
Location Phone
(262) 313-8375
Location Fax
(262) 255-1482
Mailing Address
N112W15568 MEQUON RD # 6 GERMANTOWN, WI 53022
Mailing Phone
(262) 313-8375
Mailing Fax
(262) 255-1482
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2013
Last Update Date
11-01-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
3690-033
License State
WI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDSAY ANN CARMODY APNP

Authorized Official Title
APNP
Authorized Official Phone
(414) 350-6807

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114356029, enumerated as an "organization" on November 01, 2013.

The provider is located at N112W15568 MEQUON RD # 6 GERMANTOWN, WI 53022 and the phone number is (262) 313-8375.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.