Active NPI
Maryann Ellis Foster, MD
- Obstetrics & Gynecology Physician
- Vancouver, WA
National Provider Identifier
1619084324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00031537
- Practice address
- 12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055 - Phone
- (360) 418-6001
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00031537 | WA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | MD18609 | OR |
Addresses
Primary practice location
12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Mailing address
17101 NE Stoney Meadows Dr
Vancouver, WA 98682-5607
Phone (360) 944-7994
Other names 1
- Mary Ann Ellis
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18609 | OR | MD | Specialist |
| MD18609 | OR | MD | Obstetrics & Gynecology Physician |
| MD00031537 | WA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619084324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17101 NE STONEY MEADOWS DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986825607",
"telephone_number": "360-944-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12607 SE MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846055",
"telephone_number": "360-418-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MARYANN",
"middle_name": "ELLIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00031537",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD18609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ELLIS",
"middle_name": "ANN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
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.