NPI Code Detail JSON Logo

1841237005 NPI number — CARLA SUE FOSTER MD

NPI Number: 1841237005
Health Care Provider/Practitioner: CARLA SUE FOSTER MD

Information about “1841237005” NPI (CARLA SUE FOSTER MD) exists in 1841237005 in HTML format HTML  |  1841237005 in plain Text format TXT  |  1841237005 in PDF (Portable Document Format) PDF  |  1841237005 in an XML format XML  formats.

NPI Number : 1841237005 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841237005",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOSTER",
    "FirstName": "CARLA",
    "MiddleName": "SUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHARBONNEAU",
    "OtherFirstName": "CARLA",
    "OtherMiddleName": "SUE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1000",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DRAPER",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84020-1000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-542-8222",
    "MailingAddressFaxNumber": "801-542-8227",
    "FirstLinePracticeLocationAddress": "1126 E 12300 S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DRAPER",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84020-9095",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-545-0600",
    "PracticeLocationAddressFaxNumber": "801-542-0626",
    "EnumerationDate": "05/31/2006",
    "LastUpdateDate": "12/13/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "360883-1205",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.