Active NPI
William Albert Fogle, MD
- Emergency Medicine Physician
- Marietta, OH
National Provider Identifier
1699066548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-122529
- Practice address
- 401 Matthew St
Emergency Department
Marietta, OH 45750-1635 - Phone
- (740) 376-1939
- Fax
- (740) 374-1693
- NPI assigned
- Apr 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-122529 | OH | Primary |
Addresses
Primary practice location
401 Matthew St
Emergency Department
Marietta, OH 45750-1635
Mailing address
418 1/2 Colegate Drive
Marietta, OH 45750-9549
Phone (740) 374-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108551 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1699066548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 1/2 COLEGATE DRIVE",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457509549",
"telephone_number": "740-374-4500",
"fax_number": "740-374-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MATTHEW ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457501635",
"telephone_number": "740-376-1939",
"fax_number": "740-374-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGLE",
"first_name": "WILLIAM",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-27",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-122529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108551",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.