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

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NPI Details

DR. Michael Dale Foreman, M.D is a specialist in Lafayette, LA with 46 years of experience. 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.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1979

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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