Active NPI
Glenn T. Foust III, M.D,
- Obstetrics & Gynecology Physician
- Denver, CO
National Provider Identifier
1366440315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 19974
- Practice address
- 2055 High St
#140
Denver, CO 80205-5503 - Phone
- (303) 322-2240
- Fax
- (303) 322-9260
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19974 | CO | Primary |
Addresses
Primary practice location
2055 High St
#140
Denver, CO 80205-5503
Mailing address
4900 S Monaco St
Suite 210
Denver, CO 80237-3486
Phone (303) 322-2240
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01199744 | Medicaid | CO | |
| 10025711400 | Medicaid | NE | |
| 1366440315 | Medicaid | WY | |
| 200739430A | Medicaid | KS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19974 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver-Evergreen OB-GYN GRP., PC | Past | Accepting new patients |
Interoperability endpoints
- glenn.foust@hca3.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Specialist
- Denver, CO
- NPI 1689672610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1366440315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST",
"address_2": "SUITE 210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "303-322-2240",
"fax_number": "303-322-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 HIGH ST",
"address_2": "#140",
"city": "DENVER",
"state": "CO",
"postal_code": "802055503",
"telephone_number": "303-322-2240",
"fax_number": "303-322-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUST",
"first_name": "GLENN",
"middle_name": "T.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "19974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01199744",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025711400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366440315",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200739430A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.