Active NPI
Michael E Foster MD PC
- Surgery Physician
- Southaven, MS
National Provider Identifier
1568657666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11681
- Legal business name
- MICHAEL E FOSTER MD PC
- Practice address
- 7580 Clarington CV
Suite 4
Southaven, MS 38671-5657 - Phone
- (662) 349-5911
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael E Foster, M.D.
- Title
- Sole Proprietor
- Phone
- (662) 420-7061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11681 | MS | Primary |
Addresses
Primary practice location
7580 Clarington CV
Suite 4
Southaven, MS 38671-5657
Mailing address
5036 Goodman Rd
Suite 116
Olive Branch, MS 38654-7905
Phone (662) 420-7061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG6679 | Other | MS | RR MEDICARE PIN |
National Provider Directory
National Provider DirectoryLocations
5036 Goodman Rd
Ste 114
Olive Branch, MS 38654
Phone (662) 420-7161
7580 Clarington Cv
Ste 4
Southaven, MS 38671
Phone (662) 349-5911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306368000000",
"number": "1568657666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5036 GOODMAN RD",
"address_2": "SUITE 116",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547905",
"telephone_number": "662-420-7061",
"fax_number": "901-682-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 CLARINGTON CV",
"address_2": "SUITE 4",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715657",
"telephone_number": "662-349-5911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL E FOSTER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2011-05-26",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "662-420-7061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MS",
"license": "11681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "CG6679",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.