Organization Active NPI

Michael E Foster MD PC

  • Surgery Physician
  • Southaven, MS
National Provider Identifier
1568657666
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11681 Issued in MS
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

Updated by the provider on May 26, 2011

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CG6679OtherMSRR MEDICARE PIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.