Active NPI
Gary Bruce Foster Jr., REGISTERED NURSE
- Registered Nurse
- Elyria, OH
National Provider Identifier
1386984425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 339799
- Practice address
- 41250 Butternut Ridge Rd
Elyria, OH 44035-7431 - Phone
- (440) 458-4183
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 339799 | OH | Primary |
Addresses
Primary practice location
41250 Butternut Ridge Rd
Elyria, OH 44035-7431
Mailing address
7100 Firestone Rd
Spencer, OH 44275-9540
Phone (330) 635-9244
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339799 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1386984425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 FIRESTONE RD",
"city": "SPENCER",
"state": "OH",
"postal_code": "442759540",
"telephone_number": "330-635-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41250 BUTTERNUT RIDGE RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440357431",
"telephone_number": "440-458-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "GARY",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "339799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.