Fred M Foss, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD00021421 Issued in WA

Practice address

948 Stevens Dr
Suite a
Richland, WA 99352-3547

Phone

(509) 946-5150

Fax

(509) 946-6547

NPI assigned

Sep 8, 2005

Last updated

Feb 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Health & Services- Washington

  dba PMG NW Wa

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  NPD
• Providence Health & Services-Washington

  dba PMG NW WA Monroe Pediatrics

  • Pediatrics Physician
  • Monroe, WA
  • NPI 1265683650
  NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1437143179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 STEVENS DR",
            "address_2": "SUITE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523547",
            "telephone_number": "509-946-5150",
            "fax_number": "509-946-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 STEVENS DR",
            "address_2": "SUITE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523547",
            "telephone_number": "509-946-5150",
            "fax_number": "509-946-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "FRED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00021421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018563",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Elsworth Ford III, LMP
• Cameron Fordmeir, M.ED
• Forsberg Chiropractic Clinic, P.S.
• Steven John Forsberg, DC
• Rachael Marie Forster, PHARMD
• Fourth Dimension Living,LLC
• Taylor Fowers, RN
• Jenna Fox
• Kathryn Joy Fox, MSW, LICSW
• Trisha L. Fox, BS, MSW

• Urology Physician in Richland, WA
• Providers in Richland, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.