K Wade Foster, MD, PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME 100760 Issued in FL

Practice address

2502 Sand Mine Rd
Davenport, FL 33897-3402

Phone

(855) 353-7546

Fax

(863) 294-2767

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

University of Alabama School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K Wade Foster MD PAGroup PAC ID 3173663374, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K Wade Foster MD PA

  • MOHS-Micrographic Surgery Physician
  • Winter Haven, FL
  • NPI 1205066404
  Medicare reassignment Care Compare group NPD
• Virginia Ann Schekorra PA

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1003004862
  NPD (past)
• Wilbur R. Reschly, M.D., P.a.

  • Dermatology Physician
  • Lakeland, FL
  • NPI 1700900461
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1669449047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "855-353-7546",
            "fax_number": "863-294-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "855-353-7546",
            "fax_number": "863-294-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Indian Rocks Rd",
            "address_purpose": "LOCATION",
            "city": "Belleair",
            "state": "FL",
            "postal_code": "337562056",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-293-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 S US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344506860",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-294-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6020 Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813228",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-294-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3725 South Highway 27",
            "address_2": "Ste 105",
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            "city": "Clermont",
            "state": "FL",
            "postal_code": "34711",
            "country_code": "US",
            "telephone_number": "863-293-2147 x7",
            "fax_number": "863-297-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Linden Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534342",
            "country_code": "US",
            "telephone_number": "863-293-2147 x7",
            "fax_number": "863-294-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 6TH ST SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804505",
            "country_code": "US",
            "telephone_number": "863-293-2147",
            "fax_number": "863-294-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 CR 466",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321593215",
            "country_code": "US",
            "telephone_number": "863-293-2147",
            "fax_number": "352-775-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 SE 5th Ter # 78",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344294878",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-364-9202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 S Tamiami Trl Ste 360",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341344355",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "239-676-0208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Medical Way",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338703388",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-333-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1052 Downing Cir",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733358",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-774-3526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 S Tamiami Trl Ste 360",
            "address_purpose": "LOCATION",
            "city": "Bonita Spgs",
            "state": "FL",
            "postal_code": "341344355",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "239-676-0208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3725 S Hwy 27 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347117600",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-533-4391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 S US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344506860",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-775-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Indian Rocks Rd",
            "address_purpose": "LOCATION",
            "city": "Belleair",
            "state": "FL",
            "postal_code": "337562056",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "727-315-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "K",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A98634",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD433747",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "26365",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME 100760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Woman Care ,LLC
• Yocelin J Fonseca, BT
• Marshaun Ford, PHARM D
• Tiffany Alexandria Foster-Hammonds, PHARMD
• Craig Hopeton Foster, DDS
• Four Corners Internal Medicine, LLC
• Four Corners Medical Center, LLC
• Four Corners Rehab & Wellness PL
• Cindy Pajaro Fox, PA
• Brenda Francis, LM. CPM.

• MOHS-Micrographic Surgery Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.