Provider Demographics
NPI:1992057616
Name:FOSTER, ANDREW EDWARD (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:EDWARD
Last Name:FOSTER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 FRIENDSHIP AVE
Mailing Address - Street 2:SUITE 180
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1778
Mailing Address - Country:US
Mailing Address - Phone:412-235-5881
Mailing Address - Fax:412-235-5878
Practice Address - Street 1:4727 FRIENDSHIP AVE
Practice Address - Street 2:SUITE 180
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1778
Practice Address - Country:US
Practice Address - Phone:412-235-5881
Practice Address - Fax:412-235-5878
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056284363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032711260001Medicaid
PA1032711260001Medicaid