Organization Active NPI

Kenneth W. Foster, MD, PC

  • Psychosomatic Medicine Physician
  • Poteau, OK
National Provider Identifier
1215147426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
15885 Issued in OK
Legal business name
KENNETH W. FOSTER, MD, PC
Practice address
604 Dewey Ave
Poteau, OK 74953-4218
Phone
(918) 647-8420
Fax
(918) 649-0824
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth W Foster, MD
Title
President
Phone
(918) 647-8420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 15885 OK Primary

Addresses

Primary practice location

604 Dewey Ave
Poteau, OK 74953-4218

Mailing address

PO Box 1041
Poteau, OK 74953-1041
Phone (918) 647-8420

National Provider Directory

National Provider Directory

Locations

604 Dewey Ave
Poteau, OK 74953
Phone (918) 647-8420

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215147426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531041",
            "telephone_number": "918-647-8420",
            "fax_number": "918-649-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534218",
            "telephone_number": "918-647-8420",
            "fax_number": "918-649-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. FOSTER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-647-8420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "OK",
            "license": "15885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.