Active NPI
Mary Foscue, M.D.
- Dermatology Physician
- Pensacola, FL
National Provider Identifier
1063967073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 33552
- Practice address
- 1601 E Heinberg St
Pensacola, FL 32502-4301 - Phone
- (850) 304-3997
- Fax
- (850) 304-3997
- NPI assigned
- Aug 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 33552 | FL | Primary |
Addresses
Primary practice location
1601 E Heinberg St
Pensacola, FL 32502-4301
Mailing address
1601 E Heinberg St
Pensacola, FL 32502-4301
Phone (850) 304-3997
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33552 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1063967073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E HEINBERG ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325024301",
"telephone_number": "850-304-3997",
"fax_number": "850-304-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E HEINBERG ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325024301",
"telephone_number": "850-304-3997",
"fax_number": "850-304-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSCUE",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "33552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.