Provider Demographics
NPI:1821423401
Name:FOSTER, WEST N (NP)
Entity Type:Individual
Prefix:
First Name:WEST
Middle Name:N
Last Name:FOSTER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 WHISPER WAY
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-9597
Mailing Address - Country:US
Mailing Address - Phone:937-641-9389
Mailing Address - Fax:
Practice Address - Street 1:1485 CHESTER BLVD
Practice Address - Street 2:REID PEDIATRIC & INTERNAL MEDICINE
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1919
Practice Address - Country:US
Practice Address - Phone:765-966-5527
Practice Address - Fax:765-966-5528
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15330-NP363LF0000X
IN71004628A363LF0000X
CT10394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0093832Medicaid
000000889580OtherANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
IN201186700Medicaid
OHH356741Medicare PIN
IN201186700Medicaid