Active NPI
Frederick Emmonel Foltz, PHYSICIAN ASSISTANT
- Occupational Medicine Clinic/Center
- Hopkinsville, KY
National Provider Identifier
1437208782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Practice address
- 7005 Pembroke Rd
Hopkinsville, KY 42240-8907 - Phone
- (270) 632-6816
- Fax
- (270) 632-6820
- NPI assigned
- Jan 9, 2007
- Last updated
- Oct 5, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Occupational Medicine Clinic/Center | 261QX0100X | KY | Primary |
Addresses
Primary practice location
7005 Pembroke Rd
Hopkinsville, KY 42240-8907
Mailing address
7005 Pembroke Rd
Hopkinsville, KY 42240-8907
Phone (270) 632-6816
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY1055 | Other | KY | KENTUCKY STATE LICENSE |
| 000000541933 | Other | KY | BLUE CROSS AND BLUE SHIELD OF KENTUCKY |
| 7100024730 | Medicaid | KY |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055 | KY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1437208782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 PEMBROKE RD",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422408907",
"telephone_number": "270-632-6816",
"fax_number": "270-632-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 PEMBROKE RD",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422408907",
"telephone_number": "270-632-6816",
"fax_number": "270-632-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLTZ",
"first_name": "FREDERICK",
"middle_name": "EMMONEL",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY STATE LICENSE",
"identifier": "KY1055",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF KENTUCKY",
"identifier": "000000541933",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100024730",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.