John Gregg Fozard in Pinckneyville - Family Medicine
John Gregg Fozard - NPI 1689646127
John Gregg Fozard is a Family Medicine in Pinckneyville, Illinois. John Gregg Fozard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Gregg Fozard is 1689646127. The last update date is 2023-07-10.
John Gregg Fozard's current location address is 5383 State Route 154, Pinckneyville, Illinois. You can contact this provider via phone number 6183572131 and fax number 6183573411. The mailing address for John Gregg Fozard is 5383 State Route 154, Pinckneyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gregg Fozard |
|---|---|
| Address | 5383 State Route 154, Pinckneyville, Illinois |
| Phone Number | 6183572131 |
| Fax Number | 6183573411 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689646127 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2023-07-10 |
Provider Mailing Address Detail
| Address | 5383 State Route 154 |
|---|---|
| City | Pinckneyville |
| State | Illinois (IL) |
| Post Code | 622743342 |
| Phone Number | 6183572131 |
| Fax Number | 6183573411 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36053225 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7320380 | IL | BCBS FMC GROUP PROVIDER # | |
| 80174912 | IL | MEDICARE RAILROAD | |
| 36053225 | IL | -- | |
| 2288028 | IL | UNITED HEALTHCARE ID | |
| 27340080 | IL | BCBS PHYS PROVIDER # | |
| 34761 | IL | HEALTH ALLIANCE ID | |
| 122435 | IL | HEALTHLINK PROVIDER ID |
Post Comment/ Review Below
What is the John Gregg Fozard's 1689646127?
The John Gregg Fozard's NPI (National Provider Identifier) Number is 1689646127. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John Gregg Fozard is physically located?
The John Gregg Fozard is physically situated at the following address: 5383 State Route 154, Pinckneyville, IL, 622743342.
What is the John Gregg Fozard's area of specialization and corresponding taxonomy classification?
The John Gregg Fozard's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the John Gregg Fozard receive the assignment of its 1689646127 from the Centers for Medicare & Medicaid Services?
The John Gregg Fozard was issued its 1689646127 by the Centers for Medicare & Medicaid Services on 2006-02-07.
As of what date were the John Gregg Fozard's details last updated?
The information pertaining to the John Gregg Fozard, including its address, specialty, and other details, was most recently updated on 2023-07-10.