Jean Foucauld, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0061532 Issued in FL

Practice address

3347 State Road 7
Ste. 203
Wellington, FL 33449-8095

Phone

(561) 793-6100

Fax

(561) 793-1974

NPI assigned

Aug 18, 2005

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Puerto Rico School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jean.foucauld@cppl.eclinicaldirectplus.com
• Direct secure messaging: lmcjfouca@yourcarecommunity.org

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

• Hendry County Hospital Authority

  dba Hendry Regional Physicians Group

  • Specialist
  • Clewiston, FL
  • NPI 1356360424
  Medicare reassignment NPD
• Hendry County Hospital Authority

  dba Hendry Regional Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Clewiston, FL
  • NPI 1336937408
  NPD
• Hendry County Hospital Authority

  dba Hendry Regional Cardiology

  • Medical Specialty Clinic/Center
  • Clewiston, FL
  • NPI 1699915413
  NPD
• Palms West Imaging Inc

  dba Palms West Open MRI - RPB

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1700877602
  NPD (past)
• Surgicath LLC

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1013360320
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1164414900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334700939",
            "telephone_number": "561-793-6100",
            "fax_number": "561-793-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "STE. 203",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498095",
            "telephone_number": "561-793-6100",
            "fax_number": "561-793-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCAULD",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME61532",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0061532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374891000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Footsteps to Freedom Recovery
• Paulina Cecilia Ford
• Teaondra M Ford, ARNP
• Forgotten Mom, Inc.
• Charisse Forkey, P.T.
• David Frank, MD
• Freddy Avni MD PA
• Freeman Assisted Living LLC
• Fresenius Medical Care Palm Beach County, LLC (Fresenius Kidney Care of Wellington West)
• Fernando Frias Grishko

• Cardiovascular Disease Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.