Active NPI
Steven J. Fogarty, M.D.
- Ophthalmology Physician
- Wichita, KS
National Provider Identifier
1639127012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0433238
- Practice address
- 655 N Woodlawn St
Wichita, KS 67208-3648 - Phone
- (316) 684-5158
- Fax
- (316) 691-4472
- NPI assigned
- May 5, 2006
- Last updated
- Apr 25, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0433238 | KS | Primary |
Addresses
Primary practice location
655 N Woodlawn St
Wichita, KS 67208-3648
Mailing address
1851 N Webb Rd FL 2
Wichita, KS 67206-3413
Phone (316) 858-3831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00658154 | Other | KS | RAILROAD MEDICARE |
| 1639127012 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0433238 | KS | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Past | Accepting new patients | |
| Retina Centers P.C. | Ophthalmology | Past | Accepting new patients |
| The Seeing Hand Association, Inc. | Past | Accepting new patients | |
| Retina Associates, PC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Retina Specialist (Ophthalmology) Physician
- Winchester, VA
- NPI 1750477188
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1245444884
-
- Voluntary or Charitable Agency
- Wheeling, WV
- NPI 1407943970
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1639127012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 N WEBB RD FL 2",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063413",
"telephone_number": "316-858-3831",
"fax_number": "316-691-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 N WOODLAWN ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083648",
"telephone_number": "316-684-5158",
"fax_number": "316-691-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGARTY",
"first_name": "STEVEN",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "0433238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00658154",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639127012",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
- FMS Midwest Dialysis Centers, LLC (Renal Care Group Wichita West)
- FMS Midwest Dialysis Centers, LLC (Renal Care Group Wichita)
- Rosalie R Focken, MD
- Emily D Foerschler, SLP
- Megan Elizabeth Fogarty, RD LD
- Sarah M. Fogg, PHARMD, BCPS
- Chad Foiles
- Kimberly Foland
- McGrew T Foley II, DDS
- Thomas J Foley, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.