DR. WILLIAM MARTIN FOGARTY IV (NPI# 1093246902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093246902 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MARTIN FOGARTY IV |
| Credential | D.O. |
| Practice Address |
700 Childrens Dr Columbus OH 43205-2639 |
| Mailing Address |
3898 Parkmead Dr Apt 309 Grove City OH 43123-4033 |
| Practice Telephone | 6147222530 |
| Mailing Telephone | 3145708856 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
34.014338 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891715843 | William Martin Fogarty Jr. | Internal Medicine | 275 Blackmer Pl, Saint Louis, MO 63119-3622 | 2006-07-20 |
| 1326592833 | William Fogarty Iv | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1447418041 | William T Fogarty | Preventive Medicine | 15810 Midway Rd, Addison, TX 75001-4259 | 2008-05-30 |
| Street Address |
700 CHILDRENS DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031487 | Maryam Fouladi | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-05-23 |
| 1891395794 | Lubna Mazin | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-29 |
| 1326648635 | Annie Mae Thompson | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-27 |
| 1710586383 | Kara Monnin | Psychologist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-23 |
| 1669071437 | Benjamin Barth | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-22 |
| 1982202289 | Matthew Dick | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-09 |
| 1972100642 | Weslie Donia | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-06 |
| 1245847631 | Christopher Miskell | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-29 |
| 1659988061 | Lauren Haunani Peck | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-09-29 |
| 1952918914 | Sumeet Minhas | Dentist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891061180 | Anudeep Kaur Dodeja | Pediatrics | 700 Childrens Dr, Heart Center, Columbus, OH 43205-2664 | 2012-03-30 |
| 1316213028 | Andrew Tran | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2012-03-27 |
| 1205101300 | Tara C Cosgrove | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2012-03-21 |
| 1639466956 | Simon Lee | Pediatrics | 700 Childrens Dr, Columbus, OH 43205 | 2011-07-07 |
| 1831491836 | Nazia Husain | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2010-11-23 |
| 1982848362 | Kaitlin Ellen L'italien | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2009-04-29 |
| 1376709360 | Richard Paul Fernandez | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2008-07-30 |
| 1558524744 | Andrew Richard Yates | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2008-07-08 |
| 1376705335 | Corey A Stiver | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2008-06-30 |
| 1811158272 | Philip T Thrush | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2008-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.