DR. MICHAEL DALE FOREMAN (NPI# 1609852474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609852474 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DALE FOREMAN |
| Other Name | DR. MICHAEL DALE FOREMAN |
| Credential | M.D> |
| Practice Address |
4540 Ambassador Caffery Pkwy Suite A110 Lafayette LA 70508-6928 |
| Mailing Address |
4540 Ambassador Caffery Pkwy Suite Suite A110 Lafayette LA 70508 |
| Practice Telephone | 3379841610 |
| Practice Fax Number | 3379842136 |
| Mailing Telephone | 3379841610 |
| Mailing Fax Number | 3379842136 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 015039R | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1301582 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487852547 | Michael Carraway Foreman | Dentist | 239 Sw Professional Gln, Lake City, FL 32025-1105 | 2007-07-10 |
| 1164952347 | Michael D Foreman | Family Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2017-06-19 |
| 1902284276 | Michael Scott Foreman | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Roc 4210, Indianapolis, IN 46202 | 2015-05-07 |
| 1154729689 | Michael Foreman | Social Worker | 100 River Place Dr, Suite 250, Detroit, MI 48207-4274 | 2014-12-16 |
| 1225367048 | Michael Lynn Foreman | Pharmacist | 8808 Antoine Dr, Houston, TX 77088-1626 | 2009-12-08 |
| 1922151117 | Michael Trent Foreman | Family Medicine | 7531 So Stony Island, St 176, Chicago, IL 60649 | 2007-01-19 |
| 1275563785 | Michael L Foreman | Surgery | 2710 Swiss Avenue, Dallas, TX 75204-5900 | 2006-07-03 |
| 1801844188 | Michael J Foreman | Pediatrics | 5045 Route 130, Delran, NJ 08075-9707 | 2006-05-05 |
| Street Address |
4540 AMBASSADOR CAFFERY PKWY SUITE A110 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319780 | Virginia B Coreil | Pediatrics | 4540 Ambassador Caffery Pkwy, Ste B220, Lafayette, LA 70508-6928 | 2005-07-07 |
| 1609239508 | Rush Medical - Lafayette, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. B110, Lafayette, LA 70508-6928 | 2016-03-30 |
| 1275993388 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. C-110, Lafayette, LA 70508 | 2016-03-02 |
| 1003286998 | Geeta N Dalal Md LLC | Pediatrics | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2015-10-05 |
| 1316352164 | Rush Medical | General Practice | 4540 Ambassador Caffery Pkwy, Suite B-110, Lafayette, LA 70508-6928 | 2014-06-30 |
| 1285989772 | Lisa M Larochelle | Social Worker | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2012-07-20 |
| 1861794729 | Jessica Broussard Baudoin | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2010-11-29 |
| 1104145507 | Kayla S Fanguy | Counselor | 4540 Ambassador Caffery Pkwy, Bldg. D, Suite B-220, Lafayette, LA 70508-6928 | 2010-05-25 |
| 1285864025 | Reactive Nutrition, LLC | Dietitian, Registered | 4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 | 2009-07-14 |
| 1326274408 | Wendy J Leger | Social Worker | 4540 Ambassador Caffery Pkwy, Suite B-220, Lafayette, LA 70508-6928 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1346865813 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 588 N Us Highway 287 Ste 204, Lafayette, CO 80026-2615 | 2020-06-10 |
| 1659828606 | Larissa Geleris | Specialist | 3400 Mt Diablo Blvd, Suite 200, Lafayette, CA 94549-3956 | 2016-09-07 |
| 1255781381 | Vernon Valentino Md Apmc | Specialist | 5000 Amb Caffery Pkwy Ste 100, Lafayette, LA 70508-6984 | 2016-06-20 |
| 1770933228 | Allison O'grady | Specialist | 995 S Creasy Ln, Lafayette, IN 47905-4800 | 2016-06-15 |
| 1568816064 | Cecile Marie Picou | Specialist | 114 Greenhaven Dr, Lafayette, LA 70508-6545 | 2016-04-20 |
| 1922438522 | Indiana Wellness, LLC | Specialist | 1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430 | 2013-11-18 |
| 1073947701 | Onsite Healthcare Solutions, LLC | Specialist | 208 River Oak Cir, Lafayette, LA 70508-6742 | 2013-08-29 |
| 1083964167 | Sheila Kitson Stosick | Specialist | 3253 Judy Ln, Lafayette, CA 94549-4707 | 2012-09-14 |
| 1598030181 | Neuro Diagnostic Monitoring, LLC | Specialist | 106 Amaryllis Dr, Lafayette, LA 70503-3215 | 2012-03-14 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. MICHAEL DALE FOREMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.