Provider Demographics
NPI:1508869025
Name:FOSTER, JAMES E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:FOSTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:68 DARST RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45440-3442
Mailing Address - Country:US
Mailing Address - Phone:937-531-0132
Mailing Address - Fax:937-531-0134
Practice Address - Street 1:68 DARST RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45440-3442
Practice Address - Country:US
Practice Address - Phone:937-531-0132
Practice Address - Fax:937-531-0134
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35064234F207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0122514OtherUNITED HEALTHCARE
OH421534506012OtherCHAMPUS/TRICARE
OH000000227881OtherUNICARE
OH000000227881OtherANTHEM
OHD6423402OtherHUMANA/CHOICECARE
OH35064234OtherMEDICAL LICENSE
OH638827OtherAETNA
OH080191703OtherRAILROAD MEDICARE
OH0980907Medicaid
OH421534506080OtherCARESOURCE
OH35064234OtherMEDICAL LICENSE
OH638827OtherAETNA
OHD6423402OtherHUMANA/CHOICECARE