NPIMap

Individual provider Active NPI

Paula M Foust, MD

  • Obstetrics & Gynecology Physician
  • Port Orange, FL
National Provider Identifier
1548252018
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME97528 Issued in FL
Practice address
900 N Swallowtail Dr
St. 102B
Port Orange, FL 32129-6102
Phone
(386) 492-6929
Fax
(386) 492-6930
NPI assigned
Aug 19, 2005
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME97528 FL Primary

Addresses

Primary practice location

900 N Swallowtail Dr
St. 102B
Port Orange, FL 32129-6102

Mailing address

900 N Swallowtail Dr
St. 102B
Port Orange, FL 32129-6102
Phone (386) 492-6929

Other identifiers 2

IdentifierTypeStateIssuer
207V00000XOtherFLTAXONOMY CODE
277730400MedicaidFL

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME97528FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Obstetrics & Gynecology Past Accepting new patients
Commonwealth Physicians for Women, PC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 3

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1548252018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N SWALLOWTAIL DR",
            "address_2": "ST. 102B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296102",
            "telephone_number": "386-492-6929",
            "fax_number": "386-492-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWALLOWTAIL DR",
            "address_2": "ST. 102B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296102",
            "telephone_number": "386-492-6929",
            "fax_number": "386-492-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUST",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME97528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207V00000X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277730400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.