Lee A Forestiere MD PA
Lee A Forestiere MD PA is a healthcare organization registered as Medical Specialty Clinic/Center in Pine Bluff, AR, holding Type 2 (organization) NPI 1255661732 since 2010. The authorized official on file is Renee Bogy, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255661732 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lee A Forestiere MD PA |
| Practice address | 1609 W 40TH AVE STE 403, Pine Bluff, AR, 71603 |
| Phone | 8705344188 |
| Fax | 8705347964 |
| Enumeration date | 2010-01-06 |
| Last updated in NPPES | 2020-10-20 |
Authorized official
| Name | Renee Bogy |
|---|---|
| Title | Office Manager |
| Phone | 8705344188 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Secondary | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | Primary | C4813 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103036001 | Medicaid | AR | — |
Copy-ready billing details
Provider: Lee A Forestiere MD PA NPI: 1255661732 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 1609 W 40TH AVE STE 403, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265420830 | Cyrus Tamboli | Individual | Gastroenterology Physician | Pine Bluff, AR |
| 1225026875 | Charles Mabry | Individual | Surgery Physician | Pine Bluff, AR |
| 1881853133 | Irfan Qureshi | Individual | Surgical Critical Care Physician | Pine Bluff, AR |
| 1356671838 | Michelle Eckert, M. D., PA | Organization | Medical Specialty Clinic/Center | Pine Bluff, AR |
| 1730491960 | Ashok Akula | Individual | Cardiovascular Disease Physician | Pine Bluff, AR |
| 1316331366 | Leigh Robinson | Individual | Surgical Critical Care Physician | Pine Bluff, AR |
| 1649657198 | Madison Lim | Individual | Surgery Physician | Pine Bluff, AR |
| 1558898064 | Mauro Taveras Alcantara | Individual | Interventional Cardiology Physician | Pine Bluff, AR |
Verify this record
Cross-check NPI 1255661732 against the authoritative CMS record: view Lee A Forestiere MD PA on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Lee A Forestiere MD PA?
Who is the authorized official for Lee A Forestiere MD PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-20.