Active NPI
John Wood Foster Jr., MD
- Neurology Physician
- Midland, TX
National Provider Identifier
1679568380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- F3963
- Practice address
- 400 Rosalind Redfern Grover Pkwy
Ste 261
Midland, TX 79701-5846 - Phone
- (432) 687-0700
- Fax
- (432) 570-0602
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | F3963 | TX | Primary |
Addresses
Primary practice location
400 Rosalind Redfern Grover Pkwy
Ste 261
Midland, TX 79701-5846
Mailing address
4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137278103 | Medicaid | TX | |
| 1D5510 | Other | TX | TX MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.foster.1@3522.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060509000911 | TX | Practitioner - Neurology | 5597776203 | Practice locations: Midland, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland County Hospital District | 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.
-
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1679568380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 ANDREWS HWY STE 240",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797034817",
"telephone_number": "432-686-6600",
"fax_number": "432-682-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ROSALIND REDFERN GROVER PKWY",
"address_2": "STE 261",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015846",
"telephone_number": "432-687-0700",
"fax_number": "432-570-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JOHN",
"middle_name": "WOOD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "F3963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137278103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICARE",
"identifier": "1D5510",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.foster.1@3522.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Rosalind Redfern Grover Pkwy",
"address_2": "Ste 261",
"city": "Midland",
"state": "TX",
"country_code": "US",
"postal_code": "797015846",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.