MEDICARE: DENNIS E. FOSTER MD ORTHOPEDIC SURGERY INC

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	207X00000X	Orthopaedic Surgery Physician	13140	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1194721365	OTHER	OK	PERSONAL NPI

General Provider Information

NPI Number	:	1558661876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENNIS E. FOSTER MD ORTHOPEDIC SURGERY INC

Provider Business Mailing Address
First Line	:	3130 SW 89TH ST
Second Line	:	SUITE 100
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-7908
Country	:	US
Telephone Number	:	405-378-4472
Fax Number	:	405-378-3580

Provider Business Practice Location Address
First Line	:	3130 SW 89TH ST
Second Line	:	SUITE 100
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-7908
Country	:	US
Telephone Number	:	405-378-4472
Fax Number	:	405-378-3580

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DENNIS E FOSTER
Credential	:	M.D.
Telephone Number	:	405-378-4472

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	11/02/2010

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