Active NPI
James J Foskett, MD
- Orthopaedic Surgery Physician
- Portage, WI
National Provider Identifier
1669472858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036-093048
- Practice address
- 2817 New Pinery Rd.
Divine Savior Heathcare, Inc.
Portage, WI 53901-0387 - Phone
- (608) 745-5176
- Fax
- (608) 745-0451
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036-093048 | IL | Primary |
Addresses
Primary practice location
2817 New Pinery Rd.
Divine Savior Heathcare, Inc.
Portage, WI 53901-0387
Mailing address
2817 New Pinery Rd.
Divine Savior Heathcare, Inc.
Portage, WI 53901-0387
Phone (608) 745-5176
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 |
|---|---|---|---|
| 036-093048 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of Northern Illinois, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1740277102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1669472858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 NEW PINERY RD.",
"address_2": "DIVINE SAVIOR HEATHCARE, INC.",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539010387",
"telephone_number": "608-745-5176",
"fax_number": "608-745-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 NEW PINERY RD.",
"address_2": "DIVINE SAVIOR HEATHCARE, INC.",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539010387",
"telephone_number": "608-745-5176",
"fax_number": "608-745-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSKETT",
"first_name": "JAMES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036-093048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.