Active NPI
Douglas Folzenlogen, M.D.
- Internal Medicine Physician
- Chillicothe, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35074264F
- Practice address
- 4437 State Route 159
Ste. 115
Chillicothe, OH 45601-7065 - Phone
- (740) 775-2652
- Fax
- (740) 775-2699
- NPI assigned
- Jun 21, 2005
- Last updated
- Apr 11, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35074264F | OH | Primary |
Addresses
Primary practice location
4437 State Route 159
Ste. 115
Chillicothe, OH 45601-7065
Mailing address
4437 State Route 159
Ste. 115
Chillicothe, OH 45601-7065
Phone (740) 775-2652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2062799 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5775
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35074264F | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Adena Health System | Past | Accepting new patients |
Locations
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
955 Ribaut Rd
#C
Beaufort, SC 29902
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
Organizations & group practices 5
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.
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
- General Practice Physician
- Beaufort, SC
- NPI 1336180165
-
dba Adena Health Center Hillsboro
- Family Medicine Physician
- Hillsboro, OH
- NPI 1487450813
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Agape Care Group
- Community Based Hospice Care Agency
- North Charleston, SC
- NPI 1033309877
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1801891338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4437 STATE ROUTE 159",
"address_2": "STE. 115",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456017065",
"telephone_number": "740-775-2652",
"fax_number": "740-775-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4437 STATE ROUTE 159",
"address_2": "STE. 115",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456017065",
"telephone_number": "740-775-2652",
"fax_number": "740-775-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLZENLOGEN",
"first_name": "DOUGLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35074264F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2062799",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.
- 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.