Active NPI
Mark R. Foster, PH.D., M.D.
- Specialist
- Bridgeville, PA
National Provider Identifier
1174547459
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Aug 18, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD023955E
- Practice address
- 602 Baldwin St
Bridgeville, PA 15017-2525 - Phone
- (412) 414-2490
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD023955E | PA | Primary |
Addresses
Primary practice location
602 Baldwin St
Bridgeville, PA 15017-2525
Mailing address
425 First Ave. Cherry Way
4TH Floor
Pittsburgh, PA 15219-1321
Phone (412) 391-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009489250001 | Medicaid | PA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1174547459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 FIRST AVE. CHERRY WAY",
"address_2": "4TH FLOOR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152191321",
"telephone_number": "412-391-5544",
"fax_number": "412-697-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 BALDWIN ST",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172525",
"telephone_number": "412-414-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MARK",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD023955E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009489250001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.