Individual provider Active NPI

Amanda G Foster, DO

  • Pediatrics Physician
  • Tulsa, OK
National Provider Identifier
1124043666
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4185 Issued in OK
Practice address
717 S Houston Ave FL 4
Tulsa, OK 74127-9023
Phone
(918) 382-4600
Fax
(918) 382-3183
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4185 OK Primary

Addresses

Primary practice location

717 S Houston Ave FL 4
Tulsa, OK 74127-9023

Mailing address

717 S Houston Ave FL 4
Tulsa, OK 74127-9023
Phone (918) 382-4600

Other identifiers 1

IdentifierTypeStateIssuer
200093030AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100518000650 OK Practitioner - Pediatric Medicine 3779612486 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4185OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University CurrentSince Jan 1, 2020 Accepting new patients
Oklahoma State University CurrentSince Jan 1, 2020 Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

2401 Southwest Blvd
Tulsa, OK 74107

Dept 2563
Tulsa, OK 74182

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

Interoperability endpoints

  • Direct secure messaging: afoster50951@direct.saintfrancis.com

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1124043666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE FL 4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-4600",
            "fax_number": "918-382-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE FL 4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-4600",
            "fax_number": "918-382-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "4185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200093030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.