Individual provider Active NPI

Michael Faherty Foster, D.O.

  • Otology & Neurotology Physician
  • Holland, MI
National Provider Identifier
1699067751
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
5101019136 Issued in MI
Practice address
3100 N Wellness Dr
Holland, MI 49424-8122
Phone
(616) 994-2770
Fax
(616) 920-6533
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OP60635271 WA
Otolaryngology Physician 207Y00000X 5101019136 MI
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101019136 MI
Otology & Neurotology Physician 207YX0901X 5101019136 MI Primary

Addresses

Primary practice location

3100 N Wellness Dr
Holland, MI 49424-8122

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

739 E Beltline Ave NE
Grand Rapids, MI 49525-6001
Phone (616) 994-2770

Other practice location 2

3501 Rivertown Point Ct SW
Grandville, MI 49418-3038
Phone (616) 994-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20170815000166 MI Practitioner - Otolaryngology 8224323316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Midwestern University, Chicago College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Nose Throat and Allergy Specialists PCGroup PAC ID 4183868094, 42 clinicians

Practice addresses (Care Compare)

3100 N Wellness Dr
Holland, MI 49424-8122
Phone (616) 994-2770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.22
Promoting interoperability
100
Improvement activities
40
Cost
71.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60635271WAMDOtolaryngology Physician
5101019136MIMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Surgical Center, LLC Current Accepting new patients
Michigan Ear, Nose, Throat, and Allergy Specialists, PC CurrentSince Jan 21, 2019 Accepting new patients

Locations

516 Linn St
Allegan, MI 49010
Phone (269) 673-5200

6470 Cherry Meadow Dr SE
Caledonia, MI 49316

230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305

739 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 949-3667

1425 Michigan St NE
Ste A
Grand Rapids, MI 49503
Phone (616) 233-0933

3501 Rivertown Point Ct SW
Grandville, MI 49418
Phone (616) 396-1433

3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433

205 Broadway St
South Haven, MI 49090
Phone (269) 244-3421

8300 Logistics Dr
Zeeland, MI 49464
Phone (616) 748-0630

Interoperability endpoints

  • Direct secure messaging: mfoster37600@direct.trinity-health.org
  • Direct secure messaging: mfoster186811@epic00.corewelldirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1699067751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248122",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 E Beltline Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495256001",
            "country_code": "US",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Rivertown Point Ct SW",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494183038",
            "country_code": "US",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MICHAEL",
        "middle_name": "FAHERTY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "OP60635271",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101019136",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101019136",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MI",
            "license": "5101019136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.