K Wade Foster MD PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

K WADE FOSTER MD PA

Doing business as

Florida Dermatology & Skin Cancer Centers

Practice address

1450 6TH St SE
Winter Haven, FL 33880

Phone

(863) 293-2147

Fax

(863) 294-2767

NPI assigned

Jul 22, 2009

Last updated

Apr 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa McCarrell

Title

Practice Admin

Phone

(863) 293-2147

Specialties & licenses 1

Addresses

Other names 1

• FLORIDA DERMATOLOGY & SKIN CANCER CENTERS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 40

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.

• Saqib Ahmed, M.D.

  • MOHS-Micrographic Surgery Physician
  • Longwood, FL
  • NPI 1801214721
  Medicare reassignment Care Compare group NPD
• Cheryl L Campbell, ARNP

  • Adult Health Nurse Practitioner
  • Winter Haven, FL
  • NPI 1437393717
  Medicare reassignment Care Compare group NPD
• Charles T Dewberry, DO

  • Dermatology Physician
  • Inverness, FL
  • NPI 1992728802
  Medicare reassignment Care Compare group NPD
• Chrisjonna Foster, APRN

  • Family Nurse Practitioner
  • Winter Haven, FL
  • NPI 1669216404
  Medicare reassignment Care Compare group NPD
• K Wade Foster, MD, PA

  • MOHS-Micrographic Surgery Physician
  • Davenport, FL
  • NPI 1669449047
  Medicare reassignment Care Compare group NPD
• Kaitlyn Mackenzie Frantz

  • Dermatology Physician
  • Winter Haven, FL
  • NPI 1386514651
  Medicare reassignment Care Compare group NPD
• James T Highsmith, MD, MS

  • MOHS-Micrographic Surgery Physician
  • Lutz, FL
  • NPI 1760427165
  Medicare reassignment Care Compare group NPD
• Janice Reaume, APRN

  • Nurse Practitioner
  • Mulberry, FL
  • NPI 1487252417
  Medicare reassignment Care Compare group NPD
• Danielle Marie Rylott, APRN, NP-C

  • Family Nurse Practitioner
  • Lakeland, FL
  • NPI 1659933299
  Medicare reassignment Care Compare group NPD
• Jared T Simmons, ARNP

  • Adult Health Nurse Practitioner
  • Clermont, FL
  • NPI 1093164667
  Medicare reassignment Care Compare group NPD
• Stephan Thornton, MS, ARNP

  • Adult Health Nurse Practitioner
  • Davenport, FL
  • NPI 1962945493
  Medicare reassignment Care Compare group NPD
• Crystal Star Vinsonhaler, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Beverly Hills, FL
  • NPI 1891672788
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1205066404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804505",
            "telephone_number": "863-293-2147",
            "fax_number": "863-294-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33880",
            "telephone_number": "863-293-2147",
            "fax_number": "863-294-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1052 Downing Cir",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733358",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-774-3526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Medical Way",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338703375",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-333-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6020 Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813228",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "727-478-2909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Linden Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534342",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-676-1015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Highway 466",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321593918",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-775-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 S US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344506860",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-637-0788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2502 Sand Mine Rd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338973402",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-216-5896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3725 S Hwy 27 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347117600",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-533-4391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 S Tamiami Trl Ste 360",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341344355",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "239-676-0208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Indian Rocks Rd",
            "address_purpose": "LOCATION",
            "city": "Belleair",
            "state": "FL",
            "postal_code": "337562056",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "727-315-0911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 SE 5th Ter # 78",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344294878",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-364-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K WADE FOSTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "MCCARRELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "863-293-2147"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA DERMATOLOGY & SKIN CANCER CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy J Justus, LMT
• Ahmad Kaako, MD, MBA, FACP
• Susan Marie Kane, PT, ATC
• Satyapriya Kanumuri, M.D.,
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• Kapaali Holdings LLC (Citrus Inn Healthcare)

• MOHS-Micrographic Surgery Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.