Individual provider Active NPI

David Lynn Foote, MD

  • Family Medicine Physician
  • Hudson Falls, NY
National Provider Identifier
1013999820
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
156435-1 Issued in NY
Practice address
340A Main St
Hudson Falls, NY 12839-1530
Phone
(518) 747-4117
NPI assigned
Nov 17, 2005
Last updated
Mar 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 156435-1 NY Primary

Addresses

Primary practice location

340A Main St
Hudson Falls, NY 12839-1530

Mailing address

340A Main St
Hudson Falls, NY 12839-1530
Phone (518) 747-4117

Other identifiers 1

IdentifierTypeStateIssuer
00957231MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000092 NY Practitioner - Family Practice 5496746695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156435-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice of Hudson Falls, PC Family Medicine CurrentSince Jun 1, 2004 Accepting new patients

Locations

340A Main St
Hudson Falls, NY 12839
Phone (518) 747-4117

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1013999820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340A MAIN ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391530",
            "telephone_number": "518-747-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340A MAIN ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391530",
            "telephone_number": "518-747-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "156435-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00957231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

Verify at the official NPI Registry.