Healthcare Provider Details

I. General information

NPI: 1619617487
Provider Name (Legal Business Name): CHARLES FOUST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 W BOWERY ST
AKRON OH
44308-1046
US

IV. Provider business mailing address

20770 FARNSLEIGH RD
SHAKER HEIGHTS OH
44122-3840
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-1000
  • Fax:
Mailing address:
  • Phone: 216-870-6918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.017689
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: