Charles M Fogarty, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

8691 Issued in SC

Practice address

2030 N Church Place
Spartanburg, SC 29303

Phone

(864) 558-2685

Fax

(864) 585-0999

NPI assigned

Feb 6, 2006

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J.Douglas Clark, MD PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Spartanburg, SC
  • NPI 1730229808

  Pulmonary Disease

  NPD (past)
• Mary Black Health System LLC

  dba Mary Black Memorial Hospital

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1083640981
  NPD (past)
• Rico Vincente. I. Mendoza,MD,PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Spartanburg, SC
  • NPI 1457491441

  Pulmonary Disease

  NPD (past)
• Spartanburg Hospital for Restorative Care

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1649293580
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1316919194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4276",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29305",
            "telephone_number": "864-582-6858",
            "fax_number": "864-585-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N CHURCH PLACE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-558-2685",
            "fax_number": "864-585-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "8691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "290011624",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086917",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBPG'S",
            "identifier": "8688",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha L. Flory, PA
• Mallory Flowers, PA-C
• Jodi Lynn Floyd
• Eric M. Fluckiger, M.ED
• Isatu Sawanneh Fofana, NP-C
• Sederis Fogle, RPH
• Lynda Followay
• Linda Lou Foltz, RN
• Timothy Jason Fontaine, MD
• Foothills Anesthesia Consultants, PC

• Pulmonary Disease Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.