DRS. Fogel and Gottlieb, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D30420 Issued in MD

Legal business name

DRS. FOGEL AND GOTTLIEB, P.A.

Practice address

7300 York Rd
Lower Level
Baltimore, MD 21204-7616

Phone

(443) 279-0130

Fax

(443) 279-0131

NPI assigned

Oct 17, 2007

Last updated

Nov 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandy Lewis Fogel, M.D.NPI 1407838964

Title

President

Phone

(443) 279-0130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandy L Fogel, M.D.

  • Surgery Physician
  • Roanoke, VA
  • NPI 1407838964
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1417146200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 YORK RD",
            "address_2": "LOWER LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212047616",
            "telephone_number": "443-279-0130",
            "fax_number": "443-279-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 YORK RD",
            "address_2": "LOWER LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212047616",
            "telephone_number": "443-279-0130",
            "fax_number": "443-279-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. FOGEL AND GOTTLIEB, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-279-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D30420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.