Ted E. Fogwell, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E0917 Issued in TX

Practice address

8160 Walnut Hill LN
Suite 220
Dallas, TX 75231-4339

Phone

(214) 750-0980

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: theodore.fogwell.1@8042.direct.athenahealth.com

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1679532840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-750-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-750-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGWELL",
        "first_name": "TED",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E0917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "86X001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169343401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Focus Staff Services, LP
• Loretta Fofie
• Rachel Fogarty, DDS
• Jennifer Elise Fogle, PT, MPT
• Saaghe Mmbi Fogwe, FNP
• Hannah Brooke Foiles, PMHNP
• Foj Neuro Diagnostics LLC
• Olufunke Grace Folayan, PHARMD.
• Tofunmi Tina Folayan
• Dennis Bernard Foley Jr., PT

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.