Individual provider Active NPI

Corey Fogleman, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1427039239
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420579 Issued in PA
Practice address
694 Good Dr
Suite 11
Lancaster, PA 17601-2433
Phone
(717) 544-3737
Fax
(717) 544-3739
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X PAK000164 PA
Family Medicine Physician 207Q00000X MD420579 PA Primary

Addresses

Primary practice location

694 Good Dr
Suite 11
Lancaster, PA 17601-2433

Mailing address

694 Good Dr
Suite 11
Lancaster, PA 17601-2433
Phone (717) 544-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20101220000094 PA Practitioner - Family Practice 9739377623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, shared by 16 NPIs, 520 clinicians

Practice addresses (Care Compare)

531 N Lime St
Penn Med Lanc Gen H. Phys Health Beginnings
Lancaster, PA 17602-2215
Phone (717) 544-4305

554 N Duke St FL
2 Penn Medicine Lancaster General Health Ca
Lancaster, PA 17602-2225
Phone (717) 544-7279

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PAK000164PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital CurrentSince Apr 1, 2014 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Lancaster General Medical Group CurrentSince Mar 1, 2021 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

690 Good Dr
Lancaster, PA 17601
Phone (717) 544-0700

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

694 Good Dr
Ste 11
Lancaster, PA 17601
Phone (717) 544-0040

555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279

554 N Duke St
Fl 2
Lancaster, PA 17602
Phone (717) 544-2273

100 N Queen St
Ste 200
Lancaster, PA 17603
Phone (717) 544-3555

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

201 Rock Lititz Blvd
Ste 14
Lititz, PA 17543
Phone (717) 544-3555

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: cfogleman12623@direct-lghealth.org

Organizations & group practices 8

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.

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1427039239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 GOOD DR",
            "address_2": "SUITE 11",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433",
            "telephone_number": "717-544-3737",
            "fax_number": "717-544-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 GOOD DR",
            "address_2": "SUITE 11",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433",
            "telephone_number": "717-544-3737",
            "fax_number": "717-544-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLEMAN",
        "first_name": "COREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "PAK000164",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.