MEDICARE: MICHAEL B FOSTER MD

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	2080P0205X	Pediatric Endocrinology Physician	22282	KY
2	208000000X	Pediatrics Physician	22282	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447234349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL B FOSTER MD

Provider Business Mailing Address
First Line	:	PO BOX 909
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40201-0909
Country	:	US
Telephone Number	:	502-588-3400
Fax Number	:	502-588-3401

Provider Business Practice Location Address
First Line	:	601 S FLOYD ST
Second Line	:	STE 403
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-1837
Country	:	US
Telephone Number	:	502-588-3400
Fax Number	:	502-588-3401

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	07/18/2022

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Directions to “ MICHAEL B FOSTER MD” Practice Location

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