Provider Type Icon

DR. MICHAEL DALE FOREMAN M.D NPI 1609852474


NPI Information

NPI: 1609852474
Provider Name: DR. MICHAEL DALE FOREMAN, M.D
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4540 AMBASSADOR CAFFERY PKWY
SUITE A110
LAFAYETTE, LA
ZIP 70508
Phone: (337) 984-1610
Get Directions

DR. Michael Dale Foreman, M.D is a specialist in Lafayette, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Michael Dale Foreman, M.D NPI is 1609852474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4540 AMBASSADOR CAFFERY PKWY
SUITE A110
LAFAYETTE, LA
ZIP 70508-928
Phone: (337) 984-1610
Fax: (337) 984-2136

The enumeration date for this NPI number is 12/22/2005 and was last updated on 11/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist015039RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11301582MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.