NPIMap

Organization Active NPI

David J. Foscue, M.D. PA

Doing business as Foscue Medical Clinic

  • Family Medicine Physician
  • Warren, AR
National Provider Identifier
1164452371
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E0549 Issued in AR
Legal business name
DAVID J. FOSCUE, M.D. PA
Doing business as
Foscue Medical Clinic
Practice address
113 W Cypress St
Warren, AR 71671-2730
Phone
(870) 226-2844
Fax
(870) 226-5200
NPI assigned
Jul 4, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Teresa J Foscue
Title
Manager
Phone
(870) 226-2844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E0549 AR Primary

Addresses

Primary practice location

113 W Cypress St
Warren, AR 71671-2730

Mailing address

113 W Cypress St
Warren, AR 71671-2730
Phone (870) 226-2844

Other identifiers 3

IdentifierTypeStateIssuer
1164452371MedicaidAR
127969002MedicaidAR
127887001MedicaidAR

Other names 1

  • Foscue Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

113 W Cypress St
Warren, AR 71671
Phone (870) 223-2844

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1164452371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W CYPRESS ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712730",
            "telephone_number": "870-226-2844",
            "fax_number": "870-226-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CYPRESS ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712730",
            "telephone_number": "870-226-2844",
            "fax_number": "870-226-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. FOSCUE, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "FOSCUE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-226-2844"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E0549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164452371",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127969002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127887001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foscue Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.