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 1:1430 OAK CT STE 100
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45430-1064
Mailing Address - Country:US
Mailing Address - Phone:937-404-1101
Mailing Address - Fax:937-404-1210
Practice Address - Street 1:7709 HOKE RD STE 100
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45315-9725
Practice Address - Country:US
Practice Address - Phone:937-809-2940
Practice Address - Fax:937-809-2941
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4045788363LF0000X
OHAPRN.CNP.15330363LF0000X
IN71004628A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201186700Medicaid
OH0070859Medicaid
OH0093832Medicaid
OHH356741Medicare PIN
IN201186700Medicaid