Individual provider Active NPI

Reed Fogg, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Salt Lake City, UT
National Provider Identifier
1881663870
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
147576-1205 Issued in UT
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

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.