Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jack L Forest, D.O.
Surgery Physician in Maryville, MO · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1679560775
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Registry record
Entity type Individual (Type 1)
Name Jack L Forest
Credential D.O.
Sex Male
Practice address 2016 S Main St, Maryville, MO, 64468
Phone (660) 562-2600
Fax (660) 562-7911
Enumeration date Oct 4, 2005
Last updated in NPPES Jan 6, 2017
Taxonomy & licenses
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD.
About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09633 | Other | VA | GROUP PTAN |
| 7313519 | Medicaid | VA | - |
| C06695 | Other | VA | GROUP PTAN |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1679560775 active?
Yes, as of the latest NPPES snapshot, NPI 1679560775 is active (record last updated 2017-01-06).
How do I verify Jack Forest's NPI record?
Cross-check NPI 1679560775 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Lorraine Dodson Obstetrics & Gynecology Physician · Maryville, MO NPI 1619970761 Sally Bomar Family Medicine Physician · Maryville, MO NPI 1043212228 Jane Dawson Obstetrics & Gynecology Physician · Maryville, MO NPI 1518969567 James Bradley Surgery Physician · Maryville, MO NPI 1053313015 Patrick Dawson Family Medicine Physician · Maryville, MO NPI 1316941180 John Feuerbacher Family Medicine Physician · Maryville, MO NPI 1669476354 Kanti Havaldar Internal Medicine Physician · Maryville, MO NPI 1588668297 Brian Golightly Family Medicine Physician · Maryville, MO NPI 1225032923
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-06.