Active NPI
Charles J. Foulks, M.D.
- Nephrology Physician
- Tulsa, OK
National Provider Identifier
1760442206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 26353
- Practice address
- 4444 E 41St St
3Rd Floor, Ste a
Tulsa, OK 74135-2527 - Phone
- (918) 619-4400
- Fax
- (918) 619-4152
- NPI assigned
- Mar 27, 2006
- Last updated
- Nov 3, 2014
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 26353 | OK | Primary |
Addresses
Primary practice location
4444 E 41St St
3Rd Floor, Ste a
Tulsa, OK 74135-2527
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 660-3460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330790YLP2 | Other | TX | MEDICARE WILLIAMSON COUNTY |
| 330790YLP1 | Other | TX | MEDICARE TRAVIS COUNTY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Past | Accepting new patients | |
| Scott & White Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- cfoulks@yourcarecommunity.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Dallas, TX
- NPI 1649820796
-
dba Baylor Scott & White Hospice - Austin
- Community Based Hospice Care Agency
- Round Rock, TX
- NPI 1891468591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1760442206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268838",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268838",
"telephone_number": "918-660-3460",
"fax_number": "918-619-4152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 E 41ST ST",
"address_2": "3RD FLOOR, STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352527",
"telephone_number": "918-619-4400",
"fax_number": "918-619-4152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOULKS",
"first_name": "CHARLES",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OK",
"license": "26353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WILLIAMSON COUNTY",
"identifier": "330790YLP2",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVIS COUNTY",
"identifier": "330790YLP1",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
- Samantha Foster
- Sarah Foster, LM, CPM
- Shane Foster, DPT
- Sheila Marie Foster, CRNA
- James D Fotenopulos, PHARMD
- Meighann Patricia Foulks, BA
- Foundations Family Therapy, LLC
- Founders Healthcare, LLC
- Four Directions Psychological Services PLLC
- Four Seasons Nursing Centers Inc (ManorCare Health Services - Tulsa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.