Individual provider Active NPI

Richard Heath Foxlee, MD

  • Radiation Oncology Physician
  • Poulsbo, WA
National Provider Identifier
1063480358
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD00027506 Issued in WA
Practice address
19917 7TH Ave NE
Suite 100
Poulsbo, WA 98370-6555
Phone
(360) 697-8000
Fax
(360) 598-6227
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD00027506 WA Primary

Addresses

Primary practice location

19917 7TH Ave NE
Suite 100
Poulsbo, WA 98370-6555

Mailing address

Peninsula Cancer Center LLC
PO Box 742322
Los Angeles, CA 90074-2322
Phone (360) 697-8000

Other identifiers 3

IdentifierTypeStateIssuer
P00233281OtherRAILROAD MEDICARE
2308OLOtherREGENCE BLUE SHIELD RIDER
8118911MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1063480358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PENINSULA CANCER CENTER LLC",
            "address_2": "PO BOX 742322",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742322",
            "telephone_number": "360-697-8000",
            "fax_number": "360-598-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19917 7TH AVE NE",
            "address_2": "SUITE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706555",
            "telephone_number": "360-697-8000",
            "fax_number": "360-598-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXLEE",
        "first_name": "RICHARD",
        "middle_name": "HEATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00027506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00233281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD RIDER",
            "identifier": "2308OL",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8118911",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.