Randall Dwight Foster, OPA-C, ATC, LAT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

561 N Graham St
Stephenville, TX 76401-3548

Phone

(254) 965-2663

Fax

(254) 968-7979

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1811927403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BYRON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014602",
            "telephone_number": "254-592-7329",
            "fax_number": "254-968-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N GRAHAM ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013548",
            "telephone_number": "254-965-2663",
            "fax_number": "254-968-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "RANDALL",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "OPA-C, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "AT1504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leynah Flores
• Weldana Ford, PT
• Shannon Wayne Forehand, RPH
• Andrianna Mercedes Forester
• Douglas Forester Jr.
• Foster'S Home for Children
• Brent Cody Makijarvi Fowler, DO
• Katie Nicole Franklin, LAT ATC
• C Richard Frazier, M.D.
• Haruki Fukuda, MAT, LAT, ATC

• Surgical Physician Assistant in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.