Will Foston, MD
Individual provider Active NPI Emergency Medicine Physician · Mayfield, KY
NPI 1083652192 · NPPES record last updated Jan 18, 2008
Key facts
- NPI
- 1083652192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 39401 (KY)
- Practice address
- 1099 Medical Center Cir
Mayfield, KY 42066-1159 - Phone
- (931) 906-4623
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7868 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Mountain Medical Enterprises, PLLC | Emergency Medicine | Past | Accepting new patients |
| Shiloh Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Mt. Pelia Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 39401 | KY | Yes |
Addresses
Primary practice location
1099 Medical Center Cir
Mayfield, KY 42066-1159
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000337173 | Other | BCBS | |
| 64026230 | Medicaid | KY |
Other providers in Mayfield, KY
- Fast Pace Kentucky, PLLC
- Rebecca Fletcher
- Durwood W Flournoy
- Robin Floyd
- Brittney Forth
- Four River Behavioral Health
- Freeman Dental
- Freeman Dental PLLC
- Bryan Douglas Freeman
- Michael Fuller
All providers in Mayfield, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.