Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Leroy Foster III, PA-C

Individual provider Surgical Physician Assistant · NPI 1881450740

Jack Leroy Foster III, PA-C is a Physician Assistant in Duluth, Minnesota. Qualified in 2025, 1 year ago. Practices with Orthopedic Associates of Duluth PA, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 E 1st St Ste 404
Duluth, MN 55805-2265
Phone: (218) 722-5513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1405 Progress Pkwy Ste 100, Virginia, MN 55792-3068 — (218) 735-6290

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15708 (MN)

Record details

NPI number1881450740
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Orthopedic Associates Of Duluth Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Duluth