Active NPI
O'Shae Foster, RA.164664
- Prevention Professional
- Akron, OH
National Provider Identifier
1538040845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- RA.164664
- Practice address
- 665 W Market St
Akron, OH 44303-1438 - Phone
- (330) 379-3467
- Fax
- (330) 379-3465
- NPI assigned
- Sep 11, 2025
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | RA.164664 | OH | Primary |
Addresses
Primary practice location
665 W Market St
Akron, OH 44303-1438
Mailing address
665 W Market St
Akron, OH 44303-1438
Phone (330) 379-3467
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 |
|---|---|---|---|
| RA.164664 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1538040845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031438",
"telephone_number": "330-379-3467",
"fax_number": "330-379-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031438",
"telephone_number": "330-379-3467",
"fax_number": "330-379-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "O'SHAE",
"credential": "RA.164664",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": "OH",
"license": "RA.164664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.