Provider Demographics
NPI:1568460467
Name:ALMQUIST, JOHN FOSTER (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FOSTER
Last Name:ALMQUIST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5241 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-2391
Mailing Address - Country:US
Mailing Address - Phone:814-877-7686
Mailing Address - Fax:814-877-7692
Practice Address - Street 1:5241 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-2391
Practice Address - Country:US
Practice Address - Phone:814-877-7686
Practice Address - Fax:814-877-7692
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019704E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP000382OtherGATEWAY
NY01826879OtherNY MEDICAL ASSISTANCE
PA65860OtherUNISON
PA060326OtherBLUE SHIELD
PA080094056OtherRR MEDICARE
PA519198OtherAETNA
PA0006927580004Medicaid
NY0051295001OtherUNIVERA
PA212480OtherUPMC
OH2221616OtherOH MEDICAL ASSISTANCE
NY01826879OtherNY MEDICAL ASSISTANCE
B34616Medicare UPIN