Active NPI
Christie Foster, M.D.
- Emergency Medicine Physician
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036112920
- Practice address
- 1104 S 42ND St
Mount Vernon, IL 62864-6216 - Phone
- (618) 315-6360
- Fax
- (618) 315-6356
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036112920 | IL | Primary |
Addresses
Primary practice location
1104 S 42ND St
Mount Vernon, IL 62864-6216
Mailing address
1104 S 42ND St
Mount Vernon, IL 62864-6216
Phone (618) 315-6360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL8716001 | Other | IL | MEDICARE PTAN |
| 0361129202 | Medicaid | IL | |
| DU1659 | Other | IL | RR MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 S 42ND St
Mount Vernon, IL 62864-6216
Phone (618) 315-6360
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Statera Health Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Midwest Emergency Sparta, Inc | Emergency Medicine | Current | Accepting new patients |
| Midwest Medical and Occupational Services SC | Emergency Medicine | Current | Accepting new patients |
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| App of Illinois Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Midwest Emergency Good Samaritan, Inc | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Physicians of Illinois, S.C | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Department Specialists LTD | Emergency Medicine | Past | Accepting new patients |
| Mount Vernon Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
| Memorial Expresscare, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
1104 S 42nd St
Mount Vernon, IL 62864
Phone (618) 244-2296
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1679814305
-
- Emergency Medicine Physician
- Waukegan, IL
- NPI 1053860080
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
- Emergency Medicine Physician
- Sparta, IL
- NPI 1194162370
-
- Emergency Medicine Physician
- Harrisburg, IL
- NPI 1043874449
-
- Family Medicine Physician
- Springfield, IL
- NPI 1750532362
Emergency Medicine
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1629367578
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1447502141
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1295975837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1366486235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 S 42ND ST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646216",
"telephone_number": "618-315-6360",
"fax_number": "618-315-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 S 42ND ST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646216",
"telephone_number": "618-315-6360",
"fax_number": "618-315-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "CHRISTIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036112920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IL8716001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361129202",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "DU1659",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.