MEDICARE: JOEL D FOSTER DPM PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	2000161864	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487972873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL D FOSTER DPM PC

Provider Business Mailing Address
First Line	:	5800 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2764
Country	:	US
Telephone Number	:	816-587-0522
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2764
Country	:	US
Telephone Number	:	816-587-0522
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALIN SPLECIALIST
Name	:	MS. PAMELA J ASHER
Credential	:
Telephone Number	:	816-587-0522

Provider Enumeration Date	:	05/10/2010
Last Update Date	:	05/10/2010

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