Organization Active NPI

Timothy Foster PH D LLC

  • Specialist
  • Tarpon Springs, FL
National Provider Identifier
1962587196
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PY2203 Issued in FL
Legal business name
TIMOTHY FOSTER PH D LLC
Practice address
30 N Ring Ave
#200
Tarpon Springs, FL 34689-4224
Phone
(813) 784-0247
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Timothy Foster, PHD.
Title
Owner
Phone
(813) 385-3794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PY2203 FL Primary

Addresses

Primary practice location

30 N Ring Ave
#200
Tarpon Springs, FL 34689-4224

Mailing address

30 N Ring Ave
#200
Tarpon Springs, FL 34689-4224
Phone (813) 784-0247

Other identifiers 1

IdentifierTypeStateIssuer
73592OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1962587196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N RING AVE",
            "address_2": "#200",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894224",
            "telephone_number": "813-784-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N RING AVE",
            "address_2": "#200",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894224",
            "telephone_number": "813-784-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY FOSTER PH D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-385-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PY2203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "73592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.