Individual provider Active NPI

Edison James Foret, M.D.

  • Obstetrics & Gynecology Physician
  • Houma, LA
National Provider Identifier
1053371997
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD200323 Issued in LA
Practice address
1022 Belanger St
Houma, LA 70360-4412
Phone
(985) 868-1561
Fax
(985) 868-5795
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD200323 LA Primary

Addresses

Primary practice location

1022 Belanger St
Houma, LA 70360-4412

Mailing address

1022 Belanger St
Houma, LA 70360-4412
Phone (985) 868-1561

Other identifiers 1

IdentifierTypeStateIssuer
1628280MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050810000961 LA Practitioner - Obstetrics/Gynecology 0749219699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200323LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woman'S Assessment Center Physicians Obstetrics & Gynecology CurrentSince May 1, 2008 Accepting new patients
Women'S OB-GYN Health & Wellness Center, Apmc Obstetrics & Gynecology Past Accepting new patients

Locations

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: eforet21938@womanshospital.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1053371997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BELANGER ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604412",
            "telephone_number": "985-868-1561",
            "fax_number": "985-868-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BELANGER ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604412",
            "telephone_number": "985-868-1561",
            "fax_number": "985-868-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORET",
        "first_name": "EDISON",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD200323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1628280",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.