Active NPI
Anthony Ernest Foley, MD
- Family Medicine Physician
- Dayton, OH
National Provider Identifier
1518032085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036125
- Practice address
- 300 College Park Drive
Univ of Dayton Student Health Center
Dayton, OH 45469-0900 - Phone
- (937) 229-3131
- Fax
- (937) 229-3107
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036125 | OH | Primary |
Addresses
Primary practice location
300 College Park Drive
Univ of Dayton Student Health Center
Dayton, OH 45469-0900
Mailing address
4299 Emmajane Court
Dayton, OH 45440
Phone (937) 429-2302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0306216 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036125 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Dayton | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518032085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4299 EMMAJANE COURT",
"city": "DAYTON",
"state": "OH",
"postal_code": "45440",
"telephone_number": "937-429-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COLLEGE PARK DRIVE",
"address_2": "UNIV OF DAYTON STUDENT HEALTH CENTER",
"city": "DAYTON",
"state": "OH",
"postal_code": "454690900",
"telephone_number": "937-229-3131",
"fax_number": "937-229-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "ANTHONY",
"middle_name": "ERNEST",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "036125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0306216",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.