Organization Active NPI

Marcus Foos, M.D., P.a.

  • Internal Medicine Physician
  • Decatur, TX
National Provider Identifier
1467644906
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARCUS FOOS, M.D., P.A.
Practice address
609 Medical Center Dr
Suite #100
Decatur, TX 76234-3836
Phone
(940) 626-3844
Fax
(940) 626-3847
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mr. Marcus James Foos, M.D.
Title
Owner/Physician
Phone
(940) 626-3844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

609 Medical Center Dr
Suite #100
Decatur, TX 76234-3836

Mailing address

PO Box 1563
Decatur, TX 76234-6148
Phone (940) 626-3844

Other identifiers 2

IdentifierTypeStateIssuer
0081QCOtherTXBCBS
PENDINGMedicaidTX

National Provider Directory

National Provider Directory

Locations

609 Medical Center Dr
Ste 100
Decatur, TX 76234
Phone (940) 626-3844

609 Medical Center Dr
#100
Decatur, TX 76234
Phone (940) 626-3844

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1467644906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1563",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346148",
            "telephone_number": "940-626-3844",
            "fax_number": "940-626-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR",
            "address_2": "SUITE #100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-626-3844",
            "fax_number": "940-626-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS FOOS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "FOOS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "940-626-3844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081QC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.