Lawrence Edward Foltz, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP-00001191 Issued in WA

Practice address

16500 SE 15TH St Ste 100
Vancouver, WA 98683-9666

Phone

(360) 254-4402

Fax

(360) 892-9241

NPI assigned

Feb 21, 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

Enrolled in WA

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Cascade Functional Medicine PSGroup PAC ID 5890851943, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cascade Functional Medicine PS

  • Family Medicine Physician
  • Vancouver, WA
  • NPI 1063622355
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1952376196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST",
            "address_2": "STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839666",
            "telephone_number": "360-254-4402",
            "fax_number": "360-892-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839666",
            "telephone_number": "360-254-4402",
            "fax_number": "360-892-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "LAWRENCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP-00001191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047554",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betsy Rae Foje, NP-C
• Brielle Foley
• Dominique Folkman
• Christina Folsom, DO
• Sherilyn Marie Foltz Cook, DO
• Brian Fong
• Linda Newton Fong
• Patience Fontaine
• Mary Fontana, LMHC
• Anthony Junious Fontijn

• Family Medicine Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.