Active NPI
Reed Fogg, M.D.
- Orthopaedic Surgery of the Spine Physician
- Salt Lake City, UT
National Provider Identifier
1881663870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 147576-1205
- Practice address
- 5770 South 250 East
Suite 135
Salt Lake City, UT 84107-8241 - Phone
- (801) 314-2225
- Fax
- (801) 314-2345
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 147576-1205 | UT | Primary |
Addresses
Primary practice location
5770 South 250 East
Suite 135
Salt Lake City, UT 84107-8241
Mailing address
5770 South 250 East
Suite 135
Salt Lake City, UT 84107-8241
Phone (801) 314-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1881663870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5770 SOUTH 250 EAST",
"address_2": "SUITE 135",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841078241",
"telephone_number": "801-314-2225",
"fax_number": "801-314-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 SOUTH 250 EAST",
"address_2": "SUITE 135",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841078241",
"telephone_number": "801-314-2225",
"fax_number": "801-314-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGG",
"first_name": "REED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "UT",
"license": "147576-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.