Active NPI
Derek Scott Foreman, PA-C
- Physician Assistant
- Lafayette, LA
National Provider Identifier
1710272919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200451
- Practice address
- 200 La Rue France
Lafayette, LA 70508-3104 - Phone
- (337) 264-9787
- Fax
- (337) 264-9506
- NPI assigned
- Jun 15, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200451 | LA | Primary |
Addresses
Primary practice location
200 La Rue France
Lafayette, LA 70508-3104
Mailing address
200 La Rue France
Lafayette, LA 70508-3104
Phone (337) 264-9787
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ghyass Rizk MD,Endocrine Clinic of Louisiana, Apmc | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Lafayette, LA
- NPI 1770530339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1710272919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LA RUE FRANCE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083104",
"telephone_number": "337-264-9787",
"fax_number": "337-264-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LA RUE FRANCE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083104",
"telephone_number": "337-264-9787",
"fax_number": "337-264-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "DEREK",
"middle_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.