Individual provider Active NPI

Christie Foster, M.D.

  • Emergency Medicine Physician
  • Mount Vernon, IL
National Provider Identifier
1366486235
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036112920 Issued in IL
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

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IL8716001OtherILMEDICARE PTAN
0361129202MedicaidIL
DU1659OtherILRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000284 IL Practitioner - Emergency MedicinePractitioner - Family Practice 0143242883 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Medical and Occupational Services SCGroup PAC ID 3476794496, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC Emergency Medicine CurrentSince May 20, 2019 Accepting new patients
Midwest Emergency Sparta, Inc Emergency Medicine CurrentSince Dec 30, 2015 Accepting new patients
Midwest Medical and Occupational Services SC Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Aug 10, 2021 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.