Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell G. Forsberg, PA-C

Individual provider Physician Assistant · NPI 1407039910

Russell G. Forsberg, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2007, 19 years ago. Practices with Siren Medical PC, an 18-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9305 W Thomas Rd Ste 380
Phoenix, AZ 85037-3328
Phone: (623) 327-4144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3769 (AZ)

Record details

NPI number1407039910
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2007
Last updated in NPPESMarch 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Siren Medical Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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