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LEE A FORESTIERE MD PA
NPI 1255661732
Clinic/Center - Medical Specialty in Pine Bluff, AR

Active since January 06, 2010
1609 W 40TH AVE STE 403, PINE BLUFF, AR 71603(870) 534-4188(870) 534-7964 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, May 16, 2019 (2 updates tracked since 2019).

About Lee A Forestiere Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE A FORESTIERE MD PA (NPI 1255661732) is a healthcare organization registered as a medical specialty in Pine Bluff, Arkansas and active in the NPI registry since January 2010. The organization lists Renee Bogy, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255661732
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLEE A FORESTIERE MD PA
Location Address1609 W 40TH AVE STE 403Pine Bluff, AR 71603-6365
Mailing Address1609 W 40th Ave Ste 403Pine Bluff, AR 71603-6365 · (870) 534-4188 · Fax (870) 534-7964
Phone(870) 534-4188
Fax(870) 534-7964
Organization SubpartNo
Authorized OfficialRenee BogyOffice Manager · (870) 534-4188
Enumeration DateJanuary 6, 2010
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1255661732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in AR · C4813
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1609 W 40TH AVE STE 403, Pine Bluff, AR 71603
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Other Identifiers 1

Medicaid103036001AR

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES D MABRY M.D.
Surgery
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 535-8280
DR. CYRUS PESI TAMBOLI MD
Internal Medicine (Gastroenterology)
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 541-7201
LEIGH ROBINSON MD
Surgery (Surgical Critical Care)
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 534-4188
MICHELLE ECKERT, M. D., PA
Clinic/Center (Medical Specialty)
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 534-4188
MAURO JOSE TAVERAS ALCANTARA M.D.
Internal Medicine (Interventional Cardiology)
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
MADISON SPRIGGS LIM M.D. M.P.H.
Surgery
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 534-4188
DR. ASHOK AKULA M.D.,
Internal Medicine (Cardiovascular Disease)
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
IRFAN RIAZ QURESHI M.D.
Surgery (Surgical Critical Care)
1609 W 40TH AVE STE 403
PINE BLUFF, AR 71603
Jefferson County (870) 541-6070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee A Forestiere MD PA's NPI number?

The NPI number for Lee A Forestiere MD PA is 1255661732. It was assigned to this organization in the NPPES registry on January 6, 2010.

Where is Lee A Forestiere MD PA located?

Lee A Forestiere MD PA is located at 1609 W 40th Ave Ste 403, Pine Bluff, AR 71603. The listed phone number is (870) 534-4188.

What is Lee A Forestiere MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lee A Forestiere MD PA was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.