George C-c Fogg

MD, PHD | Pediatric Infectious Diseases | Male

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Complete Profile:

George C-c Fogg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Infectious Diseases
Provider Name :	George C-c Fogg
Credential :	MD, PHD
Gender :	Male

Business Address:

George C-c Fogg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	330 Barclay Ave Ne, Suite 203 Grand Rapids, MI, 49503-2556 United States
Phone Number :	616-391-2313

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1811901085
NPI Entity Type :	Individual
First Enrolment Date :	27 Jul, 2006
Last Updated On :	17 Mar, 2021

Medicare Participation:

George C-c Fogg participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5991771446
Medicare Enrollment ID :	I20040907000238
Primary Specialty :	Infectious Disease
Medical School :	Washington University School Of Medicine
Graduation Year :	1998
Accepts Medicare?	Yes. George C-c Fogg accepts medicare insurance.

Group Practice Association:

George C-c Fogg is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which George C-c Fogg is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Spectrum Health Primary Care Partners	4587568647	1518	100 Michigan Ave Ne Grand Rapids, MI - 495032560	Yes
Spectrum Health Primary Care Partners	4587568647	1518	100 Michigan St Ne Rm 280 Helen Devos Children's Hospital Grand Rapids, MI - 495032560 Ph: 6162670115	Yes
Spectrum Health Primary Care Partners	4587568647	1518	4444 Kalamazoo Ave Se 200 Shmg Internal Medicine Kentwood, MI - 495084600 Ph: 6163915600	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for George C-c Fogg are as mentioned. Primary taxonomy code for George C-c Fogg, MD, PHD is 2080P0208X (Pediatrics Pediatric Infectious Diseases).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301078543	MI
2080P0208X	Pediatrics Pediatric Infectious Diseases	Yes	4301078543	MI

Legacy Identifiers:

Other legacy medical identifiers of George C-c Fogg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
4627622	MEDICAID	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 Michigan St Ne # Mc845 Grand Rapids, MI, 49503-2560 United States

Business Location:

Patients can refer following map for directions to George C-c Fogg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.