Individual provider Active NPI

Christopher A Foetisch, MD

  • Orthopaedic Surgery Physician
  • Toledo, OH
National Provider Identifier
1780681692
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35070672 Issued in OH
Practice address
2865 N Reynolds Rd
Toledo, OH 43615-2068
Phone
(419) 479-5386
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35070672 OH Primary

Addresses

Primary practice location

2865 N Reynolds Rd
Toledo, OH 43615-2068

Mailing address

2865 N Reynolds Rd
Toledo, OH 43615-2068
Phone (419) 479-5386

Other identifiers 1

IdentifierTypeStateIssuer
2193960MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfoetisch13442@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040423000226 OH Practitioner - Orthopedic Surgery 0749276822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Toledo College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

5300 Harroun Rd
Suite 118
Sylvania, OH 43560-2146
Phone (419) 479-5386

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35070672OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Orthopaedic Surgery CurrentSince Jun 1, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Jun 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5300 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 479-5386

4126 N Holland Sylvania Rd
Ste 120
Toledo, OH 43623
Phone (419) 473-3561

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

2865 N Reynolds Rd
Toledo, OH 43615
Phone (419) 578-2700

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2000 Regency Ct
Ste 201
Toledo, OH 43623
Phone (419) 843-5633

Interoperability endpoints

  • Direct secure messaging: cfoetisch13442@direct.promedica.org

Organizations & group practices 3

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 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1780681692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152068",
            "telephone_number": "419-479-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152068",
            "telephone_number": "419-479-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOETISCH",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35070672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193960",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfoetisch13442@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.