Active NPI
Larry J Foster, M.D.
- Pulmonary Disease Physician
- Kingsport, TN
National Provider Identifier
1023061884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 13040
- Practice address
- 111 W Stone Dr
Suite 100
Kingsport, TN 37660-6027 - Phone
- (423) 247-5197
- Fax
- (423) 247-5254
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 13040 | TN | Primary |
| Pulmonary Disease Physician | 207RP1001X | 0101233194 | VA |
Addresses
Primary practice location
111 W Stone Dr
Suite 100
Kingsport, TN 37660-6027
Mailing address
111 W Stone Dr
Suite 100
Kingsport, TN 37660-6027
Phone (423) 247-5197
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014583 | Other | TN | BLUE CROSS BLUE SHIELD |
| 006004229 | Other | VA | VIRGINIA MEDICAID |
| 055802 | Other | VA | ANTHEM |
| 5464032 | Other | TN | AETNA |
| 100024258 | Other | TN | PHP TENN CARE |
| 1000908 | Medicaid | TN | |
| 62134825603 | Other | TN | JOHN DEERE HEALTHCARE |
| 64749120 | Other | KY | KENTUCKY MEDICAID |
| Z101 | Other | TN | UNITED HEALTHCARE OF THE RIVER VALLEY |
| 3184714 | Medicaid | TN | |
| 39708 | Other | TN | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13040 | TN | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1023061884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W STONE DR",
"address_2": "SUITE 100",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376606027",
"telephone_number": "423-247-5197",
"fax_number": "423-247-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W STONE DR",
"address_2": "SUITE 100",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376606027",
"telephone_number": "423-247-5197",
"fax_number": "423-247-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "LARRY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "13040",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101233194",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0014583",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA MEDICAID",
"identifier": "006004229",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "055802",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5464032",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENN CARE",
"identifier": "100024258",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000908",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTHCARE",
"identifier": "62134825603",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAID",
"identifier": "64749120",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF THE RIVER VALLEY",
"identifier": "Z101",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3184714",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "39708",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.