Organization
FORUM HEALTH ENTERPRISES CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY NELSON (DIRECTOR)
(330) 884-4850
Entity
Organization
Contact information
Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-4570
(330) 884-0011
Mailing address
PO BOX 1113, YOUNGSTOWN, OH 44501-1113
(330) 884-4850
(330) 884-0011
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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