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MARY R. FORMAN M.D.
NPI 1326078700
Internal Medicine in Overland Park, KS

Active since July 03, 2006
12330 METCALF AVE, SUITE 400, OVERLAND PARK, KS 66213(913) 317-7990(913) 317-7018 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary R. Forman M.d. NPPES

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

MARY R. FORMAN M.D. (NPI 1326078700) is an individual internal medicine provider in Overland Park, Kansas, licensed in Kansas (0431196) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1326078700
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY R. FORMANCredential: M.D.
Location Address12330 METCALF AVE, SUITE 400Overland Park, KS 66213-1324
Mailing Address12330 Metcalf Ave, Suite 400Overland Park, KS 66213-1324 · (913) 317-7990 · Fax (913) 317-7018
Phone(913) 317-7990
Fax(913) 317-7018
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326078700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KS · 0431196✔ Licensed in MO · R7J31
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12330 METCALF AVE, Overland Park, KS 66213
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Other Names 1

Former Name (1)Mary A. Rascia M.d.

Other Identifiers 2

Medicare UPIND08166
Medicare ID-Type UnspecifiedG93D913KS

Other Providers at the Same Location NPPES 20

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

DR. JOHN R BERNARD M.D.
Family Medicine
12330 METCALF AVE, SUITE 400
OVERLAND PARK, KS 66213
Johnson County (913) 317-7990
STEPHEN M GORDON D.O.
Obstetrics & Gynecology
12330 METCALF AVE, STE. 420
OVERLAND PARK, KS 66213
Johnson County (913) 323-9000
MR. LAWRENCE L RUDER MA CCCA
Audiologist
12330 METCALF AVE, SUITE 560
OVERLAND PARK, KS 66213
Johnson County (913) 498-2827
JOHN R HANSEN MD
Family Medicine
12330 METCALF AVE, SUITE 500
OVERLAND PARK, KS 66213
Johnson County (913) 491-1616
DAVID A. COOLEY M.D.
Internal Medicine (Rheumatology)
12330 METCALF AVE, SUITE 570
SHAWNEE MISSION, KS 66213
Johnson County (913) 661-9990
DEBBRA D. BAZATA R.D., L.D. M.A. CDE
Dietitian, Registered
12330 METCALF AVE, STE. 500
OVERLAND PARK, KS 66213
Johnson County (913) 317-3170
MRS. CRYSTAL KRUEGER FNP
Nurse Practitioner
12330 METCALF AVE, SUITE 400
OVERLAND PARK, KS 66213
Johnson County (913) 317-7990
ARTHUR S. WIENTZEN M.D.
Internal Medicine
12330 METCALF AVE, SUITE 400
OVERLAND PARK, KS 66213
Johnson County (913) 317-7990

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 Mary Forman's NPI number?

The NPI number for Mary Forman is 1326078700. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Mary A. Rascia M.D..

Where is Mary Forman located?

Mary Forman practices at 12330 Metcalf Ave Suite 400, Overland Park, KS 66213. The listed phone number is (913) 317-7990.

What is Mary Forman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mary Forman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.