NPIMap

Individual provider Active NPI

Russell Allen Foulk, M.D.

  • Reproductive Endocrinology Physician
  • Reno, NV
National Provider Identifier
1790734366
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
7698 Issued in NV
Practice address
645 Sierra Rose Dr
Suite 205
Reno, NV 89511-2060
Phone
(775) 828-1200
Fax
(775) 828-1785
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X M-7577 ID
Reproductive Endocrinology Physician 207VE0102X 7698 NV Primary
Reproductive Endocrinology Physician 207VE0102X G72373 CA
Reproductive Endocrinology Physician 207VE0102X 6333431-1205 UT

Addresses

Primary practice location

645 Sierra Rose Dr
Suite 205
Reno, NV 89511-2060

Mailing address

645 Sierra Rose Dr
Suite 205
Reno, NV 89511-2060
Phone (775) 828-1200

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72373CAMDReproductive Endocrinology Physician
M-7577IDMDReproductive Endocrinology Physician
7698NVMDReproductive Endocrinology Physician
6333431-1205UTMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Past Accepting new patients
Nevada Fertility Center Reproductive Endocrinology Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Timpanogos Regional Medical Services, Inc. Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1790734366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR",
            "address_2": "SUITE 205",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-828-1200",
            "fax_number": "775-828-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR",
            "address_2": "SUITE 205",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-828-1200",
            "fax_number": "775-828-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULK",
        "first_name": "RUSSELL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "ID",
            "license": "M-7577",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NV",
            "license": "7698",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G72373",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "UT",
            "license": "6333431-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.