Roger M Fogg is a Family in Grants Pass, Oregon. Roger M Fogg practices all healthcare services and medical treatments related to Family. The NPI Number for Roger M Fogg is 1558467852. The last update date is 2013-07-02.
Roger M Fogg's current location address is 8600 New Hope Rd, Grants Pass, Oregon. You can contact this provider via phone number 5418622836 and fax number 5418622806. The mailing address for Roger M Fogg is 8600 New Hope Rd, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger M Fogg |
|---|---|
| Address | 8600 New Hope Rd, Grants Pass, Oregon |
| Phone Number | 5418622836 |
| Fax Number | 5418622806 |
| Sole Proprietor | Y |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1558467852 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2013-07-02 |
Provider Mailing Address Detail
| Address | 8600 New Hope Rd |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975278978 |
| Phone Number | 5418622836 |
| Fax Number | 5418622806 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 200350113NP |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 298515 | OR | -- |
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What is the unique 10-digit identifier code issued to Roger M Fogg by the Centers for Medicare & Medicaid Services?
The Roger M Fogg has been assigned the NPI (National Provider Identifier) 1558467852 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Roger M Fogg?
The Roger M Fogg is physically situated at 8600 New Hope Rd, in the city of Grants Pass, state of OR, with the postal code 975278978.
What is Roger M Fogg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Roger M Fogg is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did Roger M Fogg receive its 1558467852 assignment from the Centers for Medicare & Medicaid Services?
The Roger M Fogg was assigned its 1558467852 on 2006-09-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Roger M Fogg's details last updated?
The information pertaining to the Roger M Fogg, including its address, specialty, and other details, was most recently updated on 2013-07-02.