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1003817230

NPI Code Detail

MEDICARE: RICHARD W. FOSTER M.D.

MEDICARE: RICHARD W. FOSTER M.D.

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	2085N0700X	Neuroradiology Physician	18484	TN
2	2085R0202X	Diagnostic Radiology Physician	18484	TN
3	2085N0700X	Neuroradiology Physician	0101032902	VA
4	2085R0202X	Diagnostic Radiology Physician	0101032902	VA
5	2085R0202X	Diagnostic Radiology Physician	MD.07009R	LA
6	2085N0700X	Neuroradiology Physician	MD.07009R	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00797176	OTHER	LA	MEDICARE, RAILROAD
10	300066639	OTHER		PGBA (RR MEDICARE)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10032521	OTHER	VA	SENTARA
2	227701063	OTHER		CHAMPUS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3058520	OTHER	TN	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	202043	OTHER	VA	ANTHEM BCBS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	R07104	OTHER	TN	JOHN DEERE
12	10032521	OTHER	VA	OPTIMA
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003817230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD W. FOSTER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 98509
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70884-9509
Country	:	US
Telephone Number	:	225-769-2200
Fax Number	:	225-768-2185

Provider Business Practice Location Address
First Line	:	10101 PARK ROWE AVE STE 200
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-1685
Country	:	US
Telephone Number	:	225-769-2200
Fax Number	:	225-768-2185

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	04/24/2014

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Directions to “ RICHARD W. FOSTER M.D.” Practice Location

Language	Start Address	Practice Location

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