Individual provider Active NPI

Lawrence Jack Fogelson, M.D.

  • Obstetrics & Gynecology Physician
  • Towson, MD
National Provider Identifier
1629092770
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D57561 Issued in MD
Practice address
7801 York Rd
Suite 133
Towson, MD 21204-7446
Phone
(410) 339-7447
Fax
(410) 339-3684
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D57561 MD Primary

Addresses

Primary practice location

7801 York Rd
Suite 133
Towson, MD 21204-7446

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

2103 Laurel Bush Rd Ste B
Bel Air, MD 21015-6191
Phone (410) 515-7600

Other identifiers 1

IdentifierTypeStateIssuer
699705800MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.fogelson.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050719001285 MD Practitioner - Obstetrics/Gynecology 6608780622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

7801 York Rd
Suite 133
Towson, MD 21204-7451
Phone (410) 339-7447

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D57561MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 1, 2013 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Sep 21, 2012 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 1, 2013 Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients

Locations

2103 Laurel Bush Rd
Ste B
Bel Air, MD 21015
Phone (410) 515-7600

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

7801 York Rd
Ste 133
Towson, MD 21204
Phone (410) 339-7447

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7300 York Rd
Towson, MD 21204
Phone (410) 337-9878

7505 Osler Dr
Ste 204
Towson, MD 21204
Phone (410) 427-5555

Interoperability endpoints

  • Direct secure messaging: lfogelson121502@direct.umm.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1629092770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD",
            "address_2": "SUITE 133",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-339-7447",
            "fax_number": "410-339-3684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Laurel Bush Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156191",
            "country_code": "US",
            "telephone_number": "410-515-7600",
            "fax_number": "410-515-6557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGELSON",
        "first_name": "LAWRENCE",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D57561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699705800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.fogelson.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7801 York Rd",
            "address_2": "Suite 133",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212047446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.