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General NPI Number Information
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NPI Number | 1184067761
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Entity Type | Individual
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Provider Name | TIMOTHY FOSTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 234 GOODMAN ST
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City | CINCINNATI
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State | OH
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Zip | 45219-2364
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Country | US
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Telephone | 513-418-2707
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Fax | 513-418-2698
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Provider Business Mailing Address
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Address Line | 2830 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1785
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Country | US
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Telephone | 513-585-5504
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.144284
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.130641
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 35130641
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License Number State | OH
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