Joseph John Fonagy Jr., D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

3410 Issued in OH

Practice address

1507 E Market St
Warren, OH 44483-6611

Phone

(330) 369-1511

NPI assigned

Mar 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph_fonagy_jr_@b239ca72.micromddirect.com
• Direct secure messaging: jfonagy35028@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph J Fonagy Jr DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Warren, OH
  • NPI 1023286671
  Medicare reassignment NPD
• Trumbull Urology Group Inc

  • Urology Physician
  • Warren, OH
  • NPI 1194907964
  NPD (past)

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1821058579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836611",
            "telephone_number": "330-369-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836611",
            "telephone_number": "330-369-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONAGY",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-26",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2823181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Fleischer, OD
• Christa Marie Flora, PT
• Cherre L. Flynn, LISW-S
• Pamela Carlene Folman
• Kimberly Lynne Folmar, LPN
• Forum Health Rehabilitative Services Co.
• Forum Health Services
• Amy Foster, M.ED., CRC
• Kathleen Foster, LPN
• Shannon Monique Foster

• Foot & Ankle Surgery Podiatrist in Warren, OH
• Providers in Warren, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.

Verify at the official NPI Registry.