Active NPI
Cheryl A Fogarty, MD
- Obstetrics & Gynecology Physician
- Joplin, MO
National Provider Identifier
1316974207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2003008358
- Practice address
- 3103 McClelland Blvd
Joplin, MO 64804-1640 - Phone
- (417) 624-2621
- Fax
- (417) 624-4652
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2003008358 | MO | Primary |
Addresses
Primary practice location
3103 McClelland Blvd
Joplin, MO 64804-1640
Mailing address
PO Box 3535
Joplin, MO 64803-3535
Phone (417) 624-2621
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200008560A | Medicaid | OK | |
| 208438408 | Medicaid | MO | |
| P00008391 | Other | RR MEDICARE | |
| 100454900B | Medicaid | KS | |
| 100454900A | Medicaid | KS | |
| 177853 | Other | MO | ANTHEM |
| 200008560B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040707000857 | MO | Practitioner - Obstetrics/Gynecology | 4981681947 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Creighton University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Joplin LLC
Practice addresses (Care Compare)
2620 Cunningham Ave
Joplin, MO 64804-1542
Phone (417) 624-2621
Hospital & facility affiliations
- Mercy Hospital Joplin
- Mercy Hospital Carthage
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Hospital Joplin | Past | Accepting new patients | |
| Buchele & Associates Surgical Services, LLC | Past | Accepting new patients |
Locations
2620 Cunningham Ave
Joplin, MO 64804
Phone (417) 624-2621
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
100 Mercy Way
Ste 540
Joplin, MO 64804
Phone (417) 556-6876
Interoperability endpoints
- cheryl.fogarty.1@15122.direct.athenahealth.com
- cfogarty227077@directc.mercy.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
MO, Obstetrics & Gynecology
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
- Sleep Medicine (Internal Medicine) Physician
- Berryville, AR
- NPI 1356739288
-
- Surgery Physician
- Joplin, MO
- NPI 1447310396
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1316974207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3535",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033535",
"telephone_number": "417-624-2621",
"fax_number": "417-624-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 MCCLELLAND BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041640",
"telephone_number": "417-624-2621",
"fax_number": "417-624-4652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGARTY",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2003008358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200008560A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208438408",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00008391",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100454900B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100454900A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "177853",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200008560B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.