Active NPI
Christy M Bauer Fogarty, MD
- Emergency Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MDR315
- Practice address
- 366 Conway Gardens Court
St Louis, MO 63141 - Phone
- (314) 996-5225
- Fax
- (314) 275-4005
- NPI assigned
- Nov 18, 2005
- Last updated
- Dec 31, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MDR315 | MO | Primary |
Addresses
Primary practice location
366 Conway Gardens Court
St Louis, MO 63141
Mailing address
366 Conway Gardens CT
St Louis, MO 63141
Phone (314) 275-7746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206719031 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Southern Illinois University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 Clarkson Rd
Ellisville, MO 63011-2219
Phone (636) 256-8644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR315 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Emergency Physicians of St. Luke's, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
| Mercy Clinic Joplin LLC | Past | Accepting new patients | |
| Midwest Emergency Associates de Paul LLC | Emergency Medicine | Past | Accepting new patients |
| Sjmgroup | Past | Accepting new patients | |
| SSM Health Care St. Louis | Emergency Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Mercy Hospital South | Emergency Medicine | Past | Accepting new patients |
Locations
233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Emergency Medicine
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Emergency Medicine Physician
- Bridgeton, MO
- NPI 1265479448
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1952383473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 CONWAY GARDENS CT",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-275-7746",
"fax_number": "314-275-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 CONWAY GARDENS COURT",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-996-5225",
"fax_number": "314-275-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER FOGARTY",
"first_name": "CHRISTY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "MDR315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206719031",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.