Active NPI
Todd Michael Fogarty, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0046631
- Practice address
- 21 NE 3Rd St
Oklahoma City, OK 73104-2205 - Phone
- (402) 486-7115
- Fax
- (402) 434-6047
- NPI assigned
- Sep 25, 2006
- Last updated
- Feb 18, 2021
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0046631 | OK | Primary |
Addresses
Primary practice location
21 NE 3Rd St
Oklahoma City, OK 73104-2205
Mailing address
21 NE 3Rd St
Oklahoma City, OK 73104-2205
Phone (402) 486-7115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100782930A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Valley Dr
Pauls Valley, OK 73075-6613
Phone (405) 238-5501
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Hospital of Oklahoma LLC | Current | Accepting new patients | |
| Anesthesia Specialists of Oklahoma, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Specialists of Oklahoma LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospital for Special Surgery L L C | Past | Accepting new patients |
Locations
100 SE 59th St
Oklahoma City, OK 73129
Phone (405) 364-9789
1044 SW 44th St
Oklahoma City, OK 73109
Phone (405) 631-3085
1044 SW 44th St
Ste 600
Oklahoma City, OK 73109
Phone (405) 631-4263
13100 N Western Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 208-9097
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
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.
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1801252952
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1033229240
-
- Certified Registered Nurse Anesthetist
- Midwest City, OK
- NPI 1457695975
Nurse Anesthetist, Certified Registered
-
dba OneCore Health
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1851344188
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OneCore Health
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1851344188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1730289034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 NE 3RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731042205",
"telephone_number": "402-486-7115",
"fax_number": "402-434-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 NE 3RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731042205",
"telephone_number": "402-486-7115",
"fax_number": "402-434-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGARTY",
"first_name": "TODD",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0046631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100782930A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.