Healthcare Provider Details

I. General information

NPI: 1003765926
Provider Name (Legal Business Name): ISABELLE FOSTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 PAXTON AVE
CINCINNATI OH
45209-2440
US

IV. Provider business mailing address

1445 TOWNE CENTER WAY APT 301
CINCINNATI OH
45230-2284
US

V. Phone/Fax

Practice location:
  • Phone: 513-376-9354
  • Fax:
Mailing address:
  • Phone: 908-246-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010166RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: