MEDICARE: DOUGLAS SCOTT FOREMAN DO

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	207Q00000X	Family Medicine Physician	DO00326	RI

General Provider Information

NPI Number	:	1710983366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS SCOTT FOREMAN DO

Provider Business Mailing Address
First Line	:	15 LA SALLE SQ
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-1814
Country	:	US
Telephone Number	:	401-444-6779
Fax Number	:	401-444-6912

Provider Business Practice Location Address
First Line	:	501 CENTERVILLE RD STE 101
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4367
Country	:	US
Telephone Number	:	401-606-2680
Fax Number	:	401-919-5131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	12/11/2025

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Directions to “ DOUGLAS SCOTT FOREMAN DO” Practice Location

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