Forrest Kenton Busch, D.O. P.C.
NPI 1740483692ActiveOrganization· Dermatology· Dyersburg, TN
Dermatology in Dyersburg, Tennessee, registered in NPPES in June 2007. The authorized official on file is Denise Ann Horner, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740483692 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Sep 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | DO0000000839 | TN |
| Allergy & Immunology | 207K00000X | DO0000000839 | TN |
| General Practice | 208D00000X | DO0000000839 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other Dermatology providers in Dyersburg
- 1063425791