Provider Demographics
NPI:1558661876
Name:DENNIS E. FOSTER MD ORTHOPEDIC SURGERY INC
Entity Type:Organization
Organization Name:DENNIS E. FOSTER MD ORTHOPEDIC SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-378-4472
Mailing Address - Street 1:3130 SW 89TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7908
Mailing Address - Country:US
Mailing Address - Phone:405-378-4472
Mailing Address - Fax:405-378-3580
Practice Address - Street 1:3130 SW 89TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7908
Practice Address - Country:US
Practice Address - Phone:405-378-4472
Practice Address - Fax:405-378-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13140207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1194721365OtherPERSONAL NPI
D34655Medicare UPIN