Individual provider Active NPI

Stephen G Foster, PA-C

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1992040562
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA08811 Issued in TX
Practice address
3900 Junius St Ste 705
Dallas, TX 75246-1627
Phone
(770) 732-5500
NPI assigned
Dec 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6685 GA
Surgical Physician Assistant 363AS0400X PA08811 TX Primary

Addresses

Primary practice location

3900 Junius St Ste 705
Dallas, TX 75246-1627

Mailing address

7947 Glade Hill CT
Dallas, TX 75218-4510
Phone (404) 886-8705

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfoster257346@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509000728 TX Practitioner - Physician Assistant 2668493891 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6685GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 17, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 17, 2016 Accepting new patients
Medhealth CurrentSince Aug 11, 2014 Accepting new patients
South Fulton Emergency Physicians, LLC PastSince Feb 9, 2020 Accepting new patients
Mesquite Physicians Group, PLLC Past Accepting new patients

Locations

221 W Colorado Blvd
Ste 425
Dallas, TX 75208
Phone (214) 942-3100

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3900 Junius St
Ste 705
Dallas, TX 75246
Phone (214) 820-9520

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: sfoster257346@direct.sw.org

Organizations & group practices 6

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1992040562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7947 GLADE HILL CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184510",
            "telephone_number": "404-886-8705",
            "fax_number": "770-874-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 705",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461627",
            "telephone_number": "770-732-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6685",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfoster257346@direct.sw.org",
            "affiliation": "N",
            "address_1": "3900 Junius St Ste 705",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.