Active NPI
Charles M Fogarty, MD, PA
- Pulmonary Disease Physician
- Spartanburg, SC
National Provider Identifier
1801936877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 08691
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 08691 | SC | |
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086917 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.