John Charles Foss, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35056207F Issued in OH

Practice address

9480 Rosemont Dr Ste 100
Streetsboro, OH 44241-4569

Phone

(330) 626-5566

Fax

(330) 626-2042

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.johnfoss@portagefamilymedicine.medentdirect.com

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.

• Portage Family Medicine, Inc

  • Family Medicine Physician
  • Streetsboro, OH
  • NPI 1609968726
  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1205822624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "330-626-5566",
            "fax_number": "330-626-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 ROSEMONT DR STE 100",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414569",
            "telephone_number": "330-626-5566",
            "fax_number": "330-626-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35056207F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0686084",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.JohnFoss@portageFamilyMedicine.MedentDirect.com",
            "affiliation": "N",
            "address_1": "9480 Rosemont Dr Ste 100",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442414569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjohnfoss@portagefamilymedicine.medentdirect.com",
            "affiliation": "N",
            "address_1": "9480 Rosemont Dr Ste 100",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442414569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• FHS Streetsboro, Inc.
• Five Star Export, Inc
• Michelle Ruth Formick
• Fortis Counseling and Consulting, LLC
• Fortis Counseling and Consulting, LLC
• Lindsey Foster, O.D.
• Michelle K Foster
• Mason Fowler, PHARMD
• Tonya M Freeman, CCCSLP, BCBA
• Gardens of Western Reserve Assisted Living Residence

• Family Medicine Physician in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.