Provider Demographics
NPI:1417903022
Name:FORGET, THOMAS ROBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ROBERT
Last Name:FORGET
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:621 S NEW BALLAS RD
Mailing Address - Street 2:SUITE 297A
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8232
Mailing Address - Country:US
Mailing Address - Phone:314-251-6364
Mailing Address - Fax:314-251-7897
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:SUITE 297A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-6364
Practice Address - Fax:314-251-7897
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2023-09-12
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Provider Licenses
StateLicense IDTaxonomies
MO106306207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO261839808OtherCCN
MO431725782OtherMULTIPLAN
MOAETNAOther7482181
MO431725782OtherGREAT WEST HEALTH CARE
MO431725782OtherHFN
MO431725782OtherONE HEALTH PLAN
MO130525OtherALLIANCE BLUE CROSS
MO130539OtherGROUP HEALTH PLAN
MO431725782OtherCIGNA
MO130525OtherBLUE CROSS
MO294881OtherHEALTHLINK PPO
MO431725782OtherUNITED HEALTHCARE
MO431725782OtherPRIVATE HEALTHCARE SERVIC
MO431725782OtherUNICARE
MO431725782OtherCHAMPUS
MO431725782OtherMERCY HEALTH PLANS
MO431725782OtherGREAT WEST HEALTH CARE
MO431725782OtherHFN