Provider Demographics
NPI:1912095175
Name:FOSTERKARE ANESTHETIST ASSOCIATES
Entity Type:Organization
Organization Name:FOSTERKARE ANESTHETIST ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-318-0097
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37815-0542
Mailing Address - Country:US
Mailing Address - Phone:423-318-0097
Mailing Address - Fax:423-318-7682
Practice Address - Street 1:222 BOWMAN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-3856
Practice Address - Country:US
Practice Address - Phone:423-318-0097
Practice Address - Fax:423-318-7682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31234207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370364Medicaid
TN3370364Medicaid