Provider Demographics
NPI:1891889523
Name:FOSTER, CHRISTOPHER ALLAN (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ALLAN
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 MERIDIAN STREET
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-4349
Mailing Address - Country:US
Mailing Address - Phone:765-646-8477
Mailing Address - Fax:765-649-4290
Practice Address - Street 1:2020 MERIDIAN STREET
Practice Address - Street 2:SUITE 340
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-4349
Practice Address - Country:US
Practice Address - Phone:765-646-8477
Practice Address - Fax:765-649-4290
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027765207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
100010198OtherTCARE ST JOHNS
100010198OtherTCARE COMMUNITY ANDERSON
IN100171340AMedicaid
IN00000085346OtherANTHEM
KY64042351Medicaid
C25292Medicare UPIN
IN509890Medicare PIN
100010198OtherTCARE ST JOHNS
KY64042351Medicaid