Organization Active NPI

Charles M Fogarty, MD, PA

  • Pulmonary Disease Physician
  • Spartanburg, SC
National Provider Identifier
1801936877
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
08691 Issued in SC
Legal business name
CHARLES M FOGARTY, MD, PA
Practice address
2030 North Church Place
Spartanburg, SC 29303-4276
Phone
(864) 582-6858
Fax
(864) 585-0999
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Ms. Darla M Brown, RRT
Title
Office Manager
Phone
(864) 582-6858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 08691 SC
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 08691 SC Primary

Addresses

Primary practice location

2030 North Church Place
Spartanburg, SC 29303-4276

Mailing address

PO Box 4276
Spartanburg, SC 29305-4276
Phone (864) 582-6858

Other identifiers 1

IdentifierTypeStateIssuer
086917MedicaidSC

National Provider Directory

National Provider Directory

Locations

485 Simuel Rd
Spartanburg, SC 29303
Phone (864) 583-1501

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1801936877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4276",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293054276",
            "telephone_number": "864-582-6858",
            "fax_number": "864-585-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NORTH CHURCH PLACE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034276",
            "telephone_number": "864-582-6858",
            "fax_number": "864-585-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M FOGARTY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-582-6858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "08691",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "08691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086917",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.